Ning Chuanlin, Pei Huacheng, Huang Youjia, Li Sichen, Shao Yiling
School of Media and Communication, Shanghai Jiao Tong University, Shanghai, People's Republic of China.
School of Finance, Shanghai University of Finance and Economics, Shanghai, People's Republic of China.
Risk Manag Healthc Policy. 2024 Jan 6;17:65-77. doi: 10.2147/RMHP.S439581. eCollection 2024.
The Healthy China 2030 (HC2030) policy is currently recognized as China's most significant and influential national health policy. However, despite its implementation in 2016, the policy's impact has yet to be comprehensively evaluated, particularly in relation to its effectiveness in enhancing population health and promoting public health equity.
We utilized the Difference-in-Differences (DiD) method to evaluate the impact of the HC2030. Our analysis utilized a panel dataset derived from five longitudinal surveys conducted by the China Family Panel Studies (CFPS).
The implementation of HC2030 has improved the overall health status of residents, particularly in urban areas and the western and eastern regions. Mechanistic analysis has further unveiled that the policy's beneficial impact on health outcomes is attributed to a rise in physical activity frequency and the betterment of mental health. Additionally, female, married, and medically insured individuals have demonstrated a significant positive impact of the policy on their health outcomes.
Although the HC2030 appears to have effectively improved overall population health, it needs to promote equity in public health adequately. The study suggests adjustments are needed to address the unequal distribution of health outcomes between urban and rural areas and among different regions.
《“健康中国2030”规划纲要》目前被认为是中国最重要、最具影响力的国家卫生政策。然而,尽管该政策于2016年实施,但其影响尚未得到全面评估,特别是在增强人口健康和促进公共卫生公平方面的有效性。
我们采用双重差分法(DiD)来评估“健康中国2030”的影响。我们的分析使用了来自中国家庭追踪调查(CFPS)开展的五项纵向调查的面板数据集。
“健康中国2030”的实施改善了居民的总体健康状况,特别是在城市地区以及西部和东部地区。机制分析进一步揭示,该政策对健康结果的有益影响归因于身体活动频率的增加和心理健康的改善。此外,女性、已婚人士和有医疗保险的个人已表明该政策对其健康结果有显著的积极影响。
尽管“健康中国2030”似乎有效改善了总体人口健康,但仍需充分促进公共卫生公平。该研究表明,需要进行调整以解决城乡之间以及不同地区之间健康结果分布不均的问题。