Deng Qizhong, Yi Yuyan, Yu Keming
School of Business, Hunan University of Science and Technology, Xiangtan 411201, China.
Department of Mathematics, Brunel University London, London UB83PH, UK.
Healthcare (Basel). 2020 Apr 10;8(2):93. doi: 10.3390/healthcare8020093.
This paper introduces several factors, namely, environmental pollution, medical level and environmental governance, into the Grossman's production function for health. Then, an empirical analysis was conducted based on the 2004-2016 panel data of the city clusters along the middle reaches of the Yangtze River. Through the analysis, the author evaluated and compared how different factors affect the health of residents in the three city clusters: Changsha-Zhuzhou-Xiangtan (CZT) city cluster, Wuhan city cluster and circum-Poyang Lake (CPL) city cluster. The results show that: (1) In all three city clusters, economic growth can effectively improve the health of residents, and environmental pollution is also a key influencing factor of the health of residents. (2) Medical level has a close correlation with the health of residents. In the CZT city cluster, the medical level is positively correlated with the health of residents; in the CPL city cluster, the correlation is negative and takes the shape of an inverted U in the long run. (3) In all three city clusters, the environmental governance has an inverted U-shape correlation with the health of residents, indicating that environmental governance is not enough to promote the health of residents. Finally, several countermeasures were put forward to enhance the health of residents in the study area. The research findings shed new light on policymaking for the health of residents.
本文将环境污染、医疗水平和环境治理等几个因素引入格罗斯曼健康生产函数。然后，基于长江中游城市群2004 - 2016年的面板数据进行了实证分析。通过分析，作者评估并比较了不同因素如何影响长沙 - 株洲 - 湘潭（CZT）城市群、武汉城市群和环鄱阳湖（CPL）城市群这三个城市群居民的健康状况。结果表明：（1）在所有三个城市群中，经济增长能够有效改善居民健康，环境污染也是居民健康的关键影响因素。（2）医疗水平与居民健康密切相关。在CZT城市群中，医疗水平与居民健康呈正相关；在CPL城市群中，这种相关性为负，从长期来看呈倒U形。（3）在所有三个城市群中，环境治理与居民健康呈倒U形相关，这表明环境治理不足以促进居民健康。最后，提出了几项提高研究区域居民健康水平的对策。研究结果为居民健康政策制定提供了新的思路。
