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公共卫生系统绩效对中国居民生活质量的影响:基于 CGSS2015 的证据。

The Effects of Performance of Public Sector Health System on Quality of Life in China: Evidence from the CGSS2015.

机构信息

School of Political Science and Public Administration, Shandong University, Qingdao 266237, China.

Institute of Governance, Shandong University, Qingdao 266237, China.

出版信息

Int J Environ Res Public Health. 2020 Apr 22;17(8):2896. doi: 10.3390/ijerph17082896.

Abstract

The determinants of quality of life can be social, economic, cultural, and governmental, to name a few. Prior research has shown that demographic factors and social support can have a significant impact on an individual's quality of life. This research attempts to examine the effects of public sector health system performance on individuals' quality of life in China, measured by (1) self-reported health, (2) depressed mood, and (3) happiness. The targeted population was individuals aged 18 and above. The primary data was collected from the CGSS2015 (Chinese General Social Survey 2015), and the National Statistical Yearbook was also used. Using various statistical models, this study finds that the correlation coefficients of government performance in providing healthcare for patients on quality of life are 0.144, 0.167, and 0.328, respectively. The more satisfied with medical care and public health delivered by the government, the higher the level of quality of life. In addition, the relationship between government expenditure on public health service and quality of life is positively significant. These findings are robust after weighting methods are used. The performance of the Public Sector Health System has a significantly positive association with quality of life in China.

摘要

生活质量的决定因素有很多,包括社会、经济、文化和政府等方面。先前的研究表明,人口统计学因素和社会支持对个人的生活质量有重大影响。本研究试图探讨中国公共卫生系统绩效对个人生活质量的影响,通过(1)自我报告的健康状况、(2)抑郁情绪和(3)幸福感来衡量。目标人群为 18 岁及以上的个体。主要数据来自 CGSS2015(中国综合社会调查 2015),同时也使用了国家统计年鉴。本研究采用各种统计模型发现,政府为患者提供医疗服务的绩效与生活质量的相关系数分别为 0.144、0.167 和 0.328。对政府提供的医疗和公共卫生服务越满意,生活质量水平越高。此外,政府对公共卫生服务的支出与生活质量之间存在正相关关系。使用加权方法后,这些发现仍然稳健。公共卫生系统的绩效与中国的生活质量呈显著正相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f543/7215691/f51d396a9d74/ijerph-17-02896-g001.jpg

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