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地方政府医疗卫生支出效率及其影响因素分析:基于异质性随机前沿模型

Analysis on Local Government Health Expenditure Efficiency and Its Influencing Factors:Based on the Heteroscedastic Stochastic Frontier Model

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【作者】 程琳廖宇岑

【Author】 CHENG Lin;LIAO Yu-cen;College of Economics, Huazhong University of Science and Technology;

【机构】 华中科技大学经济学院香港中文大学

【摘要】 目的:在医疗卫生投入有限的背景下,研究地方政府卫生支出的效率。方法:基于2003—2011年中国31个省份的面板数据,运用异质性随机前沿模型进行分析。结果:随着政府卫生支出的增加,我国医疗卫生资源效率呈增长趋势,但各地区之间存在差异,东部地区的效率值要明显高于中部、西部。而人口密度、居民受教育水平、人口老龄化、人均GDP以及财政分权等社会、经济和政策变量则是造成这种效率差异的重要原因。结论:地方政府应合理分配医疗卫生资源,注重提高投资效率。

【Abstract】 Objective:To analyze local government health expenditure efficiencies under the background of medical and healthcare investment constraints.Methods:Based on the panel data of 31 mainland provinces from 2003 to 2011 in China, the heterosce-dastic stochastic frontier model was applied to perform the analysis.Results:With the increase of government expenditure on health,the efficiency of Chinese medical and health resources showed increasing trend. However, there were differences among different ar-eas, the efficiency of eastern area was clearly higher than the central area and western area. Social, economic and policy varieblessuch as population density, resident education level, aging, GDP per capita and fiscal decentralization were the main reasons for theefficiency diversity.Conclusion:Local government should reasonably allocate health resources and pay attention to improve invest-ment efficiency.

  • 【文献出处】 中国卫生经济 ,Chinese Health Economics , 编辑部邮箱 ,2015年01期
  • 【分类号】R197.1
  • 【被引频次】60
  • 【下载频次】880
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