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我國醫療衛生服務供給水平的空間差異及影響因素研究

Spatial differences and infl uencing factors of health care supply in China

作者:

沈艷   杜運偉

單位:

南京,南京郵電大學經濟學院

關鍵詞:

醫療衛生服務供給水平;熵權法;Dagum 基尼系數;莫蘭指數;空間計量

分類號:

R197

DOI:

10.3969/j.issn.2095-7432.2023.01.001

出版年,卷(期),頁碼:2023,13 (1):1-8

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摘要:

目的 研究我國醫療衛生服務供給水平的空間差異及影響因素,為促進醫療衛生改革提供參考。方法 采用熵權法測度中國醫療衛生服務供給水平,在此基礎上利用Dagum 基尼系數法、莫蘭指數法探討醫療衛生服務供給水平的空間差異,并運用空間計量模型分析其影響因素。結果 我國醫療衛生服務供給水平總體呈上升態勢;總體基尼系數呈減弱趨勢,主要由地區間差異造成;醫療衛生服務供給水平具有正向空間自相關性;財政分權度與對外開放程度對本地及鄰近城市的醫療衛生服務供給均產生影響,經濟發展水平與城鎮化水平僅存在顯著直接效應。結論 深化醫療衛生服務體制改革,推進醫療衛生服務供給的均衡發展;增強區域間的空間互動,重視供給水平較高地區的正向溢出效應;促進區域經濟協同發展,建立財權與事權相適應的財政體制。

英文摘要:

Objective To investigate the spatial differences and influencing factors of health care service supply in China to provide evidence for promoting the health care reform. Methods The entropy weight method was used to measure the supply of health care services in China. Subsequently, the Dagum Gini coeffi cient and the Moran’s index were used to explore the spatial differences in the supply of health care services, and the spatial econometric model was used to analyze the infl uencing factors. Results The overall supply of health care services in China was on the rise. The overall Gini coeffi cient showed a weakening trend, mainly due to regional differences. The supply of health care services had a positive spatial autocorrelation. Both the degree of fi scal decentralization and the openness infl uenced the supply of medical and health services in local and neighboring cities, and the level of economic development only had a signifi cant direct effect on urbanization. Conclusions The reform on the medical and health service systems should be deepened to promote the balanced development of health care service supply. Spatial interaction should be enhanced among different regions. A positive spillover effect from regions with high supply levels should be emphasized. Efforts should be made in promoting the coordinated development of regional economies and establishing a fi scal system with compatible fi nancial power and administrative power.

基金項目:

國家統計局重點項目(2020LZ13);江蘇省研究生科研與實踐創新計劃項目(SJCX21_0309

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