정부생산성 측정 및 거버넌스와 제도의 영향 분석: OECD 국가의 보건지출을 중심으로 = Measuring government productivity and analyzing the influences of governance and institutions: With focus on the health expenditure of OECD countries

다국어 초록 (Multilingual Abstract)

This study measured the government health expenditure of 32 OECD countries with a global Malmquist-Luenberger productivity index, and then analyzed the influences of governance and institutions on their productivity. Productivity from 2000 to 2015 declined by an annual average of 0.5%. Efficiency and technological change also decreased by a yearly average of 0.4% and 0.1%, respectively. This indicates that the productivity of public health spending decreased by efficiency deterioration rather than technological regress. The influences of governance on the productivity of government health spending show that government effectiveness, political stability, and control of corruption have a positive effect on it, whereas voice and accountability, and rule of law make a negative impact. The effects of fiscal institutions reveal that while fiscal rules and expenditure decentralization exercise a positive impact on the productivity of government health spending, independent fiscal institutions and tax-revenue decentralization have a negative effect. In particular, when independent fiscal institutions are used in conjunction with fiscal rules, the positive effect of independent fiscal institutions is inclined to increase. Concerning political institutions, unitary state, parliamentary system, and proportional representation affect the productivity of government health expenditure positively, while multi-party coalition government influences it, even limitedly, positively.

참고문헌 (Reference)

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