中国 2011 年至 2018 年卫生支出与卫生产出的空间效应分析。
Spatial Effect Analysis of Health Expenditure and Health Output in China From 2011 to 2018.
机构信息
School of Management, Jiangsu University, Zhenjiang, China.
School of Humanities and Management, Wannan Medical College, Wuhu, China.
出版信息
Front Public Health. 2022 Apr 4;10:794177. doi: 10.3389/fpubh.2022.794177. eCollection 2022.
OBJECTIVE
The objective of this study is to study the spatial effects of health expenditure and health output in China.
METHODS
Using the spatial panel data of 31 provinces in China from 2011 to 2018, the spatial weight matrix was introduced to analyze the spatial correlation, and the spatial Durbin model (SDM) was used to investigate the health output effect of health expenditure.
RESULTS
Excluding the number of doctors per thousand, the provincial health expenditure, the number of beds per thousand population, and per capita education level had a positive impact on the regional health output. The health effect of China's health inputs showed a spatial spillover effect.
CONCLUSION
Due to the significant spatial effect, the health output of 31 provinces in China benefits not only from the local health inputs, but also from the health inputs of neighboring provinces.
SUGGESTIONS
This article puts forward some suggestions based on the conclusion: China should strengthen the health cooperation among neighboring provinces, promote the free flow of various health factors among provinces, make full use of the spillover and interdependence of health investment among provinces, and improve the medical policy environment in China.
目的
本研究旨在探讨中国卫生支出和卫生产出的空间效应。
方法
利用 2011-2018 年中国 31 个省份的空间面板数据，引入空间权重矩阵分析空间相关性，采用空间杜宾模型（SDM）考察卫生支出对卫生产出的影响。
结果
除每千人口医生数外，省级卫生支出、每千人口床位数和人均受教育水平对区域卫生产出均有正向影响。中国卫生投入的健康效应表现出空间溢出效应。
结论
由于存在显著的空间效应，中国 31 个省份的卫生产出不仅受益于当地的卫生投入，还受益于相邻省份的卫生投入。
建议
本文基于结论提出了一些建议：中国应加强邻省间的卫生合作，促进各卫生要素在省际间自由流动，充分利用卫生投入的溢出和相互依存关系，改善中国的医疗政策环境。
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