政府卫生资源的受益分布及影响因素分析——基于2007~2013年各省市的BIA分析

发布时间：2019-01-06 06:40

【摘要】：本文采用受益归宿分析方法(BIA),利用2007~2013年间30个省(市、自治区)的社会经济数据,考察了我国政府卫生资源的受益分布。结果表明:人均GDP最高地区居民、城镇居民仍然是我国公共卫生资源的主要受益者,但地区差距、城乡差距在缩小。究其原因,相对全国平均水平的人均本级财政收入、净转移支付额、卫生支出占财政支出比例,直接影响其受益情况。加强省级政府对卫生公平状况的督导和监测,推进卫生公平发展的责任;完善转移支付的激励机制,激励接受政府将财力用于基本公共服务均等化;突出财政资金的扶弱能力,将更多资金用于农村和欠发达地区,从注重硬件投资到加强软件投资,将有助于进一步提高我国政府卫生资源受益分布的公平性。
[Abstract]:Based on the social and economic data of 30 provinces (municipalities and autonomous regions) from 2007 to 2013, the benefit distribution of health resources in Chinese government was investigated by using the method of benefit fate analysis (BIA),). The results show that the per capita GDP is the highest in the region and the urban residents are still the main beneficiaries of the public health resources in China, but the regional gap and the urban-rural gap are narrowing. The reason is that relative to the national average per capita fiscal income net transfer payment and health expenditure account for the proportion of financial expenditure which directly affect its benefit. To strengthen the supervision and monitoring of health equity by provincial governments, to promote the responsibility of equitable development of health care, to improve the incentive mechanism of transfer payment and to encourage the acceptance of the equalization of financial resources used by the government in basic public services; Emphasizing the weak ability of financial funds and using more funds in rural and underdeveloped areas, from focusing on hardware investment to strengthening software investment, will help to further improve the fairness of the distribution of health resources in China.
【作者单位】：浙江财经大学;
【分类号】：F812.45

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