摘要: |
目的:采用与卫生资源相关的省际面板数据,分析中国卫生资源分布的不平等状况及变动趋势,检验中国区域卫生资源分布收敛路径。方法:采用泰尔指数、地理统计方法分析了卫生资源不平等情况及变动趋势,运用面板GLS方法估计了区域卫生资源的Beta收敛模型。结果:泰尔指数显示,2007年以来全国范围及东、中、西部区域内卫生资源不平等情况已逐步改善,其中东部地区的卫生资源较中西部地区更丰富,均衡性也更强。区域卫生资源无条件Beta收敛不成立,初始卫生资源差异不会随时间自行走向均衡;条件Beta收敛成立,医疗卫生财政支出增加、地区财政自主权上升等因素会推动区域卫生资源进入收敛路径。结论:应统筹区域医疗卫生资金的投入,加大财政资金对地方公共卫生事业的支持,推动落后地区医疗卫生事业发展。 |
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Analysis of the distribution status and convergence path of health resources in China : Based on provincial panel data |
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Abstract: |
Abstract: objective: analyzing the inequality and the changing trend of the distribution of health resources in China, and discussing the convergence path of the regional health resources based on provincial panel data. Methods: Using the Theil index and geographical statistical methods to analyze the inequality and changing trend of health resources, and the Beta convergence model of regional health resources is estimated through panel GLS method. Results: The Theil index shows that the inequality of health resources in the whole country and in the eastern, central and western regions has shown a gradual improvement trend. The health resources in the eastern region are richer and more balanced than the central and western regions. The non-conditioned Beta convergence of regional health resources is not established, and the initial health resource differences do not tend to be balanced with time. The conditioned Beta convergence of regional health resources is established, increased financial expenditure on health care and increased regional financial freedom would drive regional health resources into the convergence path. Conclusion: it is necessary to coordinate the investment of regional medical and health funds, increase the financial support for local public health, and promote the development of medical and health care in the backward areas. |
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