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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

지방자치단체 보건의료 사무의 세출예산 구성과 자체재원 비율 - 제주특별자치도 사례를 중심으로

  • Yoo, Hyeyoung (Jeju Institute of Public Health & Health Policy) ;
  • Jeong, Ji Woon (Jeju Institute of Public Health & Health Policy) ;
  • Park, Hyeung-Keun (Jeju Institute of Public Health & Health Policy)
  • 유혜영 (제주특별자치도 공공보건의료지원단) ;
  • 정지운 (제주특별자치도 공공보건의료지원단) ;
  • 박형근 (제주특별자치도 공공보건의료지원단)
  • Received : 2021.11.04
  • Accepted : 2021.11.19
  • Published : 2021.12.30

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.

Keywords

References

  1. KOSIS [Internet]. Life tables by province. [cited 2021 Oct 29]. Available from: htts://kosis.kr/eng/statisticsList/statisticsListIndex.do?menuId=M_01_01&vwcd=MT_ETITLE&parmTabId=M_01_01.
  2. NHIS. The 2019 statistical yearbook on the usage of medical services by region. Wonju, NHIS, 2020.
  3. MOHW [Internet]. 2019 Health care quality statistics. [cited 2021 Oct 29]. Available from: http://www.mohw.go.kr/react/jb/sjb030301vw.jsp?PAR_MENU_ID=03&MENU_ID=032901&CONT_SEQ=364321.
  4. KCDA, Korea community health at a glance 2020: korea community health survey. Cheongju, KCHS, 2021.
  5. Park, JW. Socioeconomic inequalities in health at the regional level in Korea. Helath and Welfare Policy Forun[Internet] 2018;260:7-19 [cited 2021 Oct 29]. Available from: http://repository.kihasa.re.kr/bitstream/201002/29769/1/2018.06%20No.260.02.pdf.
  6. Lee JH. The Regional health inequity, and Individual and neighborhood level health determinants. Health and Social Welfare Review 2016; 36(2):345-384 (Korean) https://doi.org/10.15709/HSWR.2016.36.2.345
  7. Back SJ, Kim H, Lee DH, Jeong HS. Regional gaps in health status estimated by amenable mortality rate in Korea. Health Policy and Management 2021; 31(1):100-113 (Korean) https://doi.org/10.4332/KJHPA.2021.31.1.100
  8. Lee MJ, Kown DH, Kim YY, Kim JH, Moon SJ, Park KW, Park IW, Park JY, Baek NY, Son GK, Ahn SY, Yeo IU, Woo SA, Yoo SY, Lee GB, Lim SB, Jang SH, Jeong SJ, Jung YJ, Cho SG, Cha JS, Hwang KS, Lee TJ, Lee MS. Factors associated with experience of diagnosis and utilization of chronic disease among korean elderly: focus on comparing between urban and rural elderly. J Argi Med Community Health 2019;44(4):165-184 (Korean)
  9. NHIS. 2019 National health screening stastical yearbook. Wonju, NHIS, 2020.
  10. KOSIS [Internet]. Deaths, death rates, age-standardized death rates by cause(50 item) and sex: Si, Gun, and Gu. [cited 2021 Nov 17]. Available from: https://kosis.kr/eng/statisticsList/statisticsListIndex.do?menuId=M_01_01&vwcd=MT_ETITLE&parmTabId=M_01_01&statId=1999038&themaId=#SelectStatsBoxDiv.
  11. Lee CW. The Analysis of provisions on finances in korean health care law - around the budget of the ministry of health welfare- [dissertation]. Seoul, Yonsei University, 2002 (Korean)
  12. Yang BM, Kim JH. Optimal distribution of public health administration between local and central government. Korean J. of Health Policy&Administration 1992; 2(2):33-56 (Korean)
  13. Lee SK. Improvement of regional health and fiscal system. Helath and Welfare Policy Forun [Internet] 2009;47:18-28 [cited 2021 Oct 29]. Available from: http://repository.kihasa.re.kr/bitstream/201002/4664/1/3940.pdf.
  14. Park SY, Jang MY, Park SH, Na BJ, Kim EY, Kim SY. Factors of health care expenditure of local Government. Health Policy and Management 2013; 23(1):59-65 (Korean) https://doi.org/10.4332/KJHPA.2013.23.1.059
  15. Chung, HW. Local government welfare programs and central-local cooperation in welfare. Helath and Welfare Policy Forun [Internet] 2019;227:18-26 [cited 2021 Oct 29]. Available from: http://repository.kihasa.re.kr/handle/201002/33443.
  16. MOIS [Internet]. 2020 Guidelines for budgeting & fund management plans. [cited 2021 Oct 30]. Available from: https://www.mois.go.kr/frt/bbs/type001/commonSelectBoardArticle.do?bbsId=BBSMSTR_000000000016&nttId=71789
  17. MOIS [Internet]. 2021 local government finance publication: glossary of terms. [cited 2021 Oct 30]. Available from: https://www.jung.daegu.kr/new/pages/administration/page.html?mc=2221.
  18. Lim SI, Lee CK, Seo JS. Improving the Special Account for the Balanced National Development. Seoul, KILA, 2015.
  19. KLIC [Internet]. National finance act - article5(establishment of funds). [cited 2021 Oct 30]. Available from: https://www.law.go.kr/LSW/eng/engMain.do?eventGubun=060124.
  20. Goyang city council[Internet]. Glossary of terms on council. [cited 2021 Oct 30]. Available from: https://www.goyangcouncil.go.kr/source/korean//data/voca.html?page=21&idx_num=1&f_idx=%B0%A1&f_word=%B1%B9%BA%F1%A1%A4%C1%F6%B9%E6%BA%F1&keyword=.