基于省级面板数据的我国政府卫生支出收敛研究

发布时间：2018-01-15 13:21

本文关键词：基于省级面板数据的我国政府卫生支出收敛研究　出处：《湖南大学》2014年硕士论文　论文类型：学位论文

【摘要】：2009年新一轮医疗改革提出了我国要逐步实现人人享有基本医疗卫生服务的目标。作为实现改革目标的重要手段，我国政府卫生支出增长很快，但政府卫生支出的增加并不意味着我国人人享有了平等的基本医疗卫生资源和服务。数据显示我国不同地区居民的医疗卫生资源和服务还有很大差距。这种差距的存在会严重影响医疗卫生资源的配置，不利于基本医疗卫生服务共享目标的实现。因此，本文选择我国政府卫生支出的收敛作为研究主题，分析我国省际及区域间政府卫生支出是否存在收敛，找出影响政府卫生支出及其收敛的影响因素，提出相应对策以提高区域收敛速度。若存在收敛，，则我国省际及区域政府卫生支出绝对数和增长率最终会趋于一致，则我国政府卫生支出省际及区域差距会逐渐缩小直至消失，这对实现我国“人人享有基本医疗卫生服务”新医改目标有着重要的现实意义。本文以资本报酬递减和技术扩散理论为基础，采用σ收敛方法研究我国整体及东中西部政府卫生支出绝对数是否在长期存在收敛趋势；接着采用β绝对收敛和随机收敛法对我国整体政府卫生支出增长率进行实证分析；然后将包括经济因素在内的制度因素、社会因素和卫生因素引入β条件收敛的分析中，研究影响我国政府卫生支出收敛速度的因素；最后根据我国不同地区的发展状况，对东中西三个俱乐部进行绝对收敛和条件收敛分析，并将收敛结果与我国整体收敛结果进行比较分析。实证结果显示：我国整体及东部和中部地区存在σ收敛，西部地区则不存在σ收敛；我国整体及东中西部均不存在绝对收敛的态势；我国整体及东中西部均存在条件收敛的趋势，且人均GDP、人口老龄化程度以及医疗机构床位数对我国整体及三个俱乐部的影响方向相同，其余因素对个别俱乐部的影响符号与我国整体结果相异。根据以上分析，本文提出了如下提高我国政府卫生支出收敛速度的政策建议：提高部分地区政府卫生支出规模和质量；提高居民受教育水平；完善我国财政分权制度、调整和优化转移支付制度。
[Abstract]:In 2009, a new round of medical reform put forward that our country should gradually realize the goal of basic medical and health services for all. As an important means to realize the goal of reform, the government health expenditure of our country has increased rapidly. However, the increase in government expenditure on health does not mean that all people in our country enjoy equal access to basic health resources and services. The data show that there is still a big gap between the health resources and services of residents in different regions of our country. The existence of the medical and health resources will seriously affect the allocation of medical and health resources. Therefore, this paper chooses the convergence of government health expenditure as the research theme, and analyzes whether there is convergence of government health expenditure between provinces and regions in China. Find out the influence factors of the government health expenditure and its convergence, and put forward the corresponding countermeasures to improve the regional convergence rate, if there is convergence. Then the absolute number and the growth rate of the provincial and regional government health expenditure will eventually be the same, then the inter-provincial and regional gap of our government health expenditure will gradually narrow and disappear. This is of great practical significance to the realization of the new goal of "basic medical and health service for all" in our country. Based on the theory of capital return decline and technology diffusion, this paper uses 蟽 convergence method to study whether the absolute number of government health expenditure in China as a whole and in the east, west, west and west has a long-term convergence trend. Then we use the method of absolute convergence and stochastic convergence to analyze the growth rate of government health expenditure in China. Then, we introduce the system factor, social factor and health factor including economic factor into the analysis of 尾 conditional convergence, and study the factors that affect the convergence rate of government health expenditure. Finally, according to the development of different regions in China, the paper analyzes the absolute convergence and conditional convergence of the three clubs of East and West. The convergence results are compared with those in China. The empirical results show that there is 蟽 convergence in the whole and the eastern and central regions of China, but there is no 蟽 convergence in the western region. There is no trend of absolute convergence in China as a whole and in the east, west and west. There is a trend of conditional convergence in China as a whole, and the influence of per capita GDP, population aging degree and the number of beds in medical institutions on the whole and the three clubs in China are the same. The other factors influence the individual club symbol and our country overall result is different. Based on the above analysis, this paper puts forward the following policy suggestions to improve the convergence rate of Chinese government health expenditure: to improve the scale and quality of government health expenditure in some regions; Raising the educational level of the residents; We will improve our fiscal decentralization system and adjust and optimize the transfer payment system.
【学位授予单位】：湖南大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：F812.45

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