Community health care integration and fiscal expenditures: evidence from a synthetic control approach
BackgroundDoes the implementation of community healthcare integration policies affect fiscal expenditures as a key measure in addressing older healthcare demands and promoting healthy aging?MethodsThis study utilizes the implementation of community healthcare integration in Yantai, a prefecture-leve...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2025-05-01
|
| Series: | Frontiers in Public Health |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2025.1524984/full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850269687807475712 |
|---|---|
| author | Yi Xiang Guangjing Zhong Xiaofeng Lei Longqing Liu |
| author_facet | Yi Xiang Guangjing Zhong Xiaofeng Lei Longqing Liu |
| author_sort | Yi Xiang |
| collection | DOAJ |
| description | BackgroundDoes the implementation of community healthcare integration policies affect fiscal expenditures as a key measure in addressing older healthcare demands and promoting healthy aging?MethodsThis study utilizes the implementation of community healthcare integration in Yantai, a prefecture-level city in China, as a natural experiment to analyze its fiscal expenditure consequences by using the synthetic control approach.ResultsOur empirical findings indicate that the program implementation markedly decreased fiscal expenditures in pilot cities. The decrease in expenditure is solely due to policy execution, with no confounding variables detected. The program implementation negatively impacted fiscal expenditures mainly by decreasing government healthcare spending in pilot zones.ConclusionConsequently, in the ongoing effort to enhance community healthcare integration, local governments must devise context-tailored implementation strategies to attain sustainable growth, alleviate fiscal burdens, and improve older adult care services. |
| format | Article |
| id | doaj-art-07e806d0f2954b599b2d8c183643ccba |
| institution | OA Journals |
| issn | 2296-2565 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj-art-07e806d0f2954b599b2d8c183643ccba2025-08-20T01:53:00ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-05-011310.3389/fpubh.2025.15249841524984Community health care integration and fiscal expenditures: evidence from a synthetic control approachYi Xiang0Guangjing Zhong1Xiaofeng Lei2Longqing Liu3College of Public Administration and Law, Hunan Agricultural University, Changsha, ChinaCollege of Public Administration and Law, Hunan Agricultural University, Changsha, ChinaInstitute of Agricultural Economics and Agricultural Zoning, Hunan Academy of Agricultural Sciences, Changsha, ChinaCollege of Economics and Management, Zhejiang Agriculture and Forestry University, Hangzhou, ChinaBackgroundDoes the implementation of community healthcare integration policies affect fiscal expenditures as a key measure in addressing older healthcare demands and promoting healthy aging?MethodsThis study utilizes the implementation of community healthcare integration in Yantai, a prefecture-level city in China, as a natural experiment to analyze its fiscal expenditure consequences by using the synthetic control approach.ResultsOur empirical findings indicate that the program implementation markedly decreased fiscal expenditures in pilot cities. The decrease in expenditure is solely due to policy execution, with no confounding variables detected. The program implementation negatively impacted fiscal expenditures mainly by decreasing government healthcare spending in pilot zones.ConclusionConsequently, in the ongoing effort to enhance community healthcare integration, local governments must devise context-tailored implementation strategies to attain sustainable growth, alleviate fiscal burdens, and improve older adult care services.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1524984/fullcommunity health care integrationgovernment expenditurehealth care expendituresynthetic controlsrobustness tests |
| spellingShingle | Yi Xiang Guangjing Zhong Xiaofeng Lei Longqing Liu Community health care integration and fiscal expenditures: evidence from a synthetic control approach Frontiers in Public Health community health care integration government expenditure health care expenditure synthetic controls robustness tests |
| title | Community health care integration and fiscal expenditures: evidence from a synthetic control approach |
| title_full | Community health care integration and fiscal expenditures: evidence from a synthetic control approach |
| title_fullStr | Community health care integration and fiscal expenditures: evidence from a synthetic control approach |
| title_full_unstemmed | Community health care integration and fiscal expenditures: evidence from a synthetic control approach |
| title_short | Community health care integration and fiscal expenditures: evidence from a synthetic control approach |
| title_sort | community health care integration and fiscal expenditures evidence from a synthetic control approach |
| topic | community health care integration government expenditure health care expenditure synthetic controls robustness tests |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2025.1524984/full |
| work_keys_str_mv | AT yixiang communityhealthcareintegrationandfiscalexpendituresevidencefromasyntheticcontrolapproach AT guangjingzhong communityhealthcareintegrationandfiscalexpendituresevidencefromasyntheticcontrolapproach AT xiaofenglei communityhealthcareintegrationandfiscalexpendituresevidencefromasyntheticcontrolapproach AT longqingliu communityhealthcareintegrationandfiscalexpendituresevidencefromasyntheticcontrolapproach |