【摘要】 目的:分析新型城镇化水平对公共卫生支出效率的本地以及空间溢出效应，为提升我国公共卫生支出效率提供参考。方法:基于BCC模型测算各省级的2010-2020年公共卫生支出效率，运用空间杜宾模型从全国及各分区域分析新型城镇化水平对公共卫生支出效率的影响。结果:全国层面上，新型城镇化水平对公共卫生支出效率存在显著的正向本地和空间溢出效应(NUL和W*NUL回归系数分别为1.506和0.256,P<0.05);区域层面上，新型城镇化水平对公共卫生支出效率的影响存在区域异质性。东部的新型城镇化水平对公共卫生支出效率存在显著的正向本地效应和空间溢出效应(NUL和W*NUL回归系数分别为1.755和0.856,P<0.05),中西部的NUL和W*NUL虽均为正值，但均不显著。结论:新型城镇化水平正向影响本地以及周边地区的公共卫生支出效率，但存在区域异质性。应打破区域行政垄断，加强各省份的交流与合作，共享新型城镇化建设的最新成果，充分发挥新型城镇化对公共卫生支出效率的积极空间溢出效应，促进我国公共卫生支出效率的整体有效提高。更多还原

【Abstract】 Objective: To analyze the local and spatial spillover effects of new urbanization on the efficiency of public health expenditure, so as to provide references to improve the efficiency of public health expenditure in China. Methods: The BCC model was used to measure the efficiency of public health expenditure at each province from 2010 to 2020, the spatial Durbin model was used to analyze the impact of new urbanization on the efficiency of public health expenditure from the perspective of the whole country and each sub-region. Results: At the national level, new urbanization had significantly positive local and spatial spillover effects on public health expenditure efficiency(NUL and W*NUL regression coefficients of 1.506 and 0.256 respectively, P<0.05). At the regional level, there was regional heterogeneity in the impact of new urbanization on the efficiency of public health expenditure. There were significant positive local and spatial spillover effects of new urbanization on public health expenditure efficiency in the east(NUL and W*NUL regression coefficients of 1.755 and 0.856 respectively, P<0.05), while both NUL and W*NUL were positive but insignificant in the mid-west. Conclusion: New urbanization positively affects the efficiency of public health expenditure locally as well as in the surrounding areas, but there exists regional heterogeneity. Therefore, regional administrative monopolies should be broken down, exchanges and cooperation among provinces should be strengthened, the latest achievements of new urbanization should be shared, and the positive spatial spillover effect of new urbanization on the efficiency of public health expenditure should be brought into full play to promote the overall effective improvement of the efficiency of public health expenditure in China.更多还原