Fiscal Decentralization and Local Public Health Expenditure: Empirical Analysis Based on Different Caliber Indicators and Provincial Panel Data / 中国卫生经济

Objective:To conduct empirical analysis on the impact mechanism of local public health expenditure based on fiscal decentralization.Methods:Using panel data of China's 31 provinces from 2010 to 2015,through static panels,FGLS,GMM estimation methods,the influence of different fiscal decentralization indexes on local public health expenditure in China were analyzed.Results:Different fiscal decentralization indexes had different effects on public health expenditure.Local governments with bigger fiscal autonomous income fight might increase public health expenditure effectively.Conclusion:It needed to further differentiate fiscal powers of the central and local governments reasonably,clear responsibility boundary,build the central and local public health expenditure hard constraint mechanism and improve the enthusiasm of local governments to provide unproductive public products.

Responsiveness evaluation of mental intervention services system in Wenchuan earthquake area / 中华预防医学杂志

<p><b>OBJECTIVE</b>To understand the mental intervention service system responsiveness.</p><p><b>METHODS</b>A stratified, multi-stage random cluster sampling method was used, and a total of 211 residents in the central earthquake area were face to face interviewed by using the evaluating questionnaire of mental intervention service system responsiveness (including confidentiality, autonomy, prompt attention and so on, in sum of eight indicators). Analytic hierarchy process method was used to determine the weight of each index, carrying out a single index evaluation and fuzzy comprehensive evaluation on the mental intervention service system responsiveness, and using Spearman rank correlation and Binary logistic regression model to analyze the relationship of total satisfaction of mental intervention with each index.</p><p><b>RESULTS</b>The dignity and confidentiality indicators were higher weight and rating. Prompt attention and the autonomy indicators were higher weight but lower rating, while surroundings and choice of providers indicators were lower weight and rating. It was also found that communication and social support network indicators were lower weight but higher rating. The overall assessment of mental intervention service system responsiveness ranged between "good" and "very good". All rank correlation coefficients of the indicators and the total satisfaction of mental interventions were significant (r(s) = 0.186 - 0.362, P < 0.05), except for confidentiality. The logistic regression analysis showed that the main factors of the individual variables influencing the total satisfaction were dignity (adjusted OR = 3.047, P < 0.001), surroundings (adjusted OR = 1.619, P = 0.019), and social support network (adjusted OR = 1.527, P = 0.005).</p><p><b>CONCLUSION</b>The overall assessment of mental intervention service system responsiveness was high. Mental interventions should be taken positive and effective measures to improve the prompt attention, autonomy, the choice of providers and service environment.</p>