School of Management Science and Real Estate, Chongqing University, Chongqing 400044, China.
Research Center for Construction Economy and Management, Chongqing University, Chongqing 400044, China.
Int J Environ Res Public Health. 2022 Mar 29;19(7):4065. doi: 10.3390/ijerph19074065.
Poor health and poverty interact and restrict each other. While this relationship is acknowledged, little is known about the extent of its impact. By integrating multisource data, this study used spatial econometric models to quantitatively reveal the relationship between health and rural poverty and explore its intrinsic mechanisms. The results indicated that health-care system input, individual health status, and individual health-seeking behavior have a significantly positive effect on the eradication of rural poverty. The health-care system input is characterized by spatial spillover, significantly contributing to rural poverty alleviation in the region and neighboring regions, as well. However, the effect of health-care system services' capability was negative. Thus, it is necessary to increase investment in the health-care system and pay attention to both the health status and healthy behaviors of rural residents. Moreover, further effort should be given to the supply-side reform of health services as a breakthrough point.
健康状况不佳和贫困相互作用并相互制约。尽管人们已经认识到这种关系，但对于其影响的程度却知之甚少。本研究通过整合多源数据，运用空间计量经济学模型，定量揭示了健康与农村贫困之间的关系，并探讨了其内在机制。结果表明，医疗体系投入、个体健康状况和个体就医行为对农村减贫具有显著的正向影响。医疗体系投入具有空间溢出效应，对本地区及周边地区的农村减贫具有显著的促进作用。然而，医疗体系服务能力的效应为负。因此，有必要加大医疗体系投入，关注农村居民的健康状况和健康行为。此外，应进一步努力推进医疗服务供给侧改革，以此作为突破口。
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