Wan Yue, Yang Hong-Wei, Masui Toshihiko
Department of Social Engineering, Tokyo Institute of Technology, Japan.
Biomed Environ Sci. 2005 Oct;18(5):356-61.
There are currently two commonly used approaches to assessing economic impacts of health damage resulting from environmental pollution: human capital approach (HCA) and willingness-to-pay (WTP). WTP can be further divided into averted expenditure approach (AEA), hedonic wage approach (HWA), contingent valuation approach (CVA) and hedonic price approach (HPA). A general review of the principles behind these approaches by the authors indicates that these methods are incapable of unveiling the mechanism of health impact from the point of view of national economy. On a basis of economic system, the shocks brought about by health effects of environmental pollution change the labor supply and medical expenditure, which in turn affects the level of production activity in each sector and the total final consumption pattern of the society. The general equilibrium approach within the framework of macroeconomic theory is able to estimate the health impact on national economy comprehensively and objectively. Its mechanism and applicability are discussed in detail by the authors.
目前,有两种常用的方法来评估环境污染造成的健康损害所带来的经济影响:人力资本法(HCA)和支付意愿法(WTP)。支付意愿法可进一步细分为避免支出法(AEA)、享乐工资法(HWA)、条件估值法(CVA)和享乐价格法(HPA)。作者对这些方法背后的原理进行了全面回顾,结果表明,从国民经济的角度来看,这些方法无法揭示健康影响的机制。基于经济系统,环境污染对健康的影响所带来的冲击会改变劳动力供给和医疗支出,进而影响每个部门的生产活动水平以及社会的最终消费总模式。宏观经济理论框架内的一般均衡方法能够全面、客观地估计健康对国民经济的影响。作者详细讨论了其机制和适用性。