Institute of Management and Decision, Shanxi University, Taiyuan, 030006, China.
School of Economics and Management, Shanxi University, Taiyuan, 030006, China.
Environ Sci Pollut Res Int. 2023 Jul;30(33):80613-80627. doi: 10.1007/s11356-023-27917-y. Epub 2023 Jun 10.
Based on the environmental Kuznets curve (EKC) hypothesis and using Chinese provincial panel data from 2002 to 2019, this study examines how different types of healthcare expenditure and levels of economic development and energy consumption contribute to carbon emissions regionally. Considering the wide regional differences in the development levels of China, this paper uses quantile regressions and draws the following robust conclusions: (1) The EKC hypothesis was validated by all methods in eastern China. (2) The carbon emission reduction of government, private, and social health expenditure is confirmed. Furthermore, the impact of health expenditure on carbon reduction decreases from East to West. (3) Government, private, and social health expenditure all cause reductions in CO emissions, with private health expenditure having the largest negative effect on CO emissions, followed by government health expenditure and finally social health expenditure. Overall, the limited empirical work available on the impact of different kinds of health expenditure on carbon emission in the existing literature, this study greatly assists policy makers and researchers to understand the importance of health expenditure in improving environmental performance.
基于环境库兹涅茨曲线(EKC)假说,利用中国 2002 年至 2019 年的省级面板数据,本研究考察了不同类型的医疗支出以及经济发展和能源消耗水平如何在区域层面上对碳排放产生影响。考虑到中国发展水平的广泛区域差异,本文采用分位数回归,并得出以下稳健结论:(1)东部地区所有方法均验证了 EKC 假说。(2)政府、私人和社会卫生支出的碳减排得到确认。此外,卫生支出对碳减排的影响从东向西递减。(3)政府、私人和社会卫生支出都会导致 CO 排放减少,其中私人卫生支出对 CO 排放的负面影响最大,其次是政府卫生支出,最后是社会卫生支出。总的来说,现有文献中关于不同类型的卫生支出对碳排放影响的有限实证工作,本研究极大地帮助了政策制定者和研究人员理解卫生支出在改善环境绩效方面的重要性。