지방자치단체 보건의료 사무의 세출예산 구성과 자체재원 비율 - 제주특별자치도 사례를 중심으로
Proportions of non-matching fund by local governments and central government subsidies in local government health budget: focused on 2020 Jeju Self-Governing Province Budget
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Objectives: The purpose of the study was to classify the health and medical service affairs of local governments, and to analyze the proportions of non-matching fund by local governments and central government subsidies for local government health budget. Methods: First of all, health affairs of local governments were classified to categories based on health-related laws and previous studies by review of the authors. In order to specify the scale of local government-led health affairs, we allocated 1,916 budget units into 6 main and 24 sub categories of the health and medical service affairs of local governments for the 2020 health budget of Jeju Special Self-Governing Province. For each categories, we compared the total amounts and the percentages of the 'central government subsidies', 'local government budget - matching fund', and 'local government budget - non-matching fund'. Results: The total health budget of Jeju Special Self-Governing Province accounts for 1.2% of the total budget. Of the total health budget of Jeju Special Self-Governing Province, the proportion of central government subsidies was 39.6% and the proportions of local government budget-matching fund and non-matching fund were 33.8% and 26.6%, respectively. The proportions of non-matching fund by provincial and basic local governments were 37.3% and 19.9%, respectively. Conclusion: In order for local governments to deal with the health problems of residents, it is necessary to secure and spend more local government budget(i.e., non-matching fund by local government) for health affairs in their administrative jurisdiction.
Abstract
Objectives: The purpose of the study was to classify the health and medical service affairs of local governments, and to analyze the proportions of non-matching fund by local governments and central government subsidies for local government health budget. Methods: First of all, health affairs of local governments were classified to categories based on health-related laws and previous studies by review of the authors. In order to specify the scale of local government-led health affairs, we allocated 1,916 budget units into 6 main and 24 sub categories of the health and medical service affairs of local governments for the 2020 health budget of Jeju Special Self-Governing Province. For each categories, we compared the total amounts and the percentages of the 'central government subsidies', 'local government budget - matching fund', and 'local government budget - non-matching fund'. Results: The total health budget of Jeju Special Self-Governing Province accounts for 1.2% of the total budget. Of the total health budget of Jeju Special Self-Governing Province, the proportion of central government subsidies was 39.6% and the proportions of local government budget-matching fund and non-matching fund were 33.8% and 26.6%, respectively. The proportions of non-matching fund by provincial and basic local governments were 37.3% and 19.9%, respectively. Conclusion: In order for local governments to deal with the health problems of residents, it is necessary to secure and spend more local government budget(i.e., non-matching fund by local government) for health affairs in their administrative jurisdiction.
참고문헌 (20)
- NHIS, "The 2019 statistical yearbook on the usage of medical services by region" (2020), NHIS
- "2019 Health care quality statistics"[URL]
- Korea community health at a glance 2020: korea community health survey, "KCDA", KCHS, ~ (2021)
- Park, JW, "Socioeconomic inequalities in health at the regional level in Korea", Helath and Welfare Policy Forun, 260, pp.7~19 (2018)
- 이진희, "지역적 건강불평등과 개인 및 지역수준의 건강결정요인", 보건사회연구, 36(2), pp.345~384 (2016), 한국보건사회연구원[DOI]
- 백세종, "치료 가능한 사망으로 측정한 우리나라 지역 간 건강수준의 격차", 보건행정학회지, 31(1), pp.100~113 (2021), 한국보건행정학회
- 이민지, "한국 노인의 만성질환 진단경험 및 의료이용에 관련된 요인:도시와 농촌 간 비교를 중심으로", 농촌의학.지역보건, 44(4), pp.165~184 (2019), 한국농촌의학.지역보건학회
- NHIS, "2019 National health screening stastical yearbook" (2019), NHIS
- "Deaths, death rates, agestandardized death rates by cause(50 item)and sex: Si, Gun, and Gu"[URL]
- Lee CW, "The Analysis of provisions on finances in korean health care law –around the budget of the ministry of health welfare-", pp.2002
- Yang BM, "Optimal distribution of public health administration between local and central government", Korean J. of Health Policy&Administration, 2(2), pp.33~56 (1992)
- Lee SK, "Improvement of regional health and fiscal system", Helath and Welfare Policy Forun, 47, pp.18~28 (2009)
- 박삼영, "기초지방자치단체 보건의료 지출수준의 결정요인", 보건행정학회지, 23(1), pp.59~65 (2013), 한국보건행정학회
- Chung, HW, "Local government welfare programs and central-local cooperation in welfare", Helath and Welfare Policy Forun, 227, pp.18~26 (2019)
- "2020 Guidelines for budgeting & fund management plans" (2020)[URL]
- "2021 local government finance publication: glossary of terms" (2021)[URL]
- Lim SI, "Improving the Special Account for the Balanced National Development" (2015), KILA
- "National finance act –article5(establishment of funds)"[URL]
- "Glossary of terms on council"[URL]