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关于空气污染对粤港澳大湾区居民医疗支出影响的研究。

Study on the impact of air pollution on residents' health expenditures in Guangdong, Hong Kong, and Macao Greater Bay Area.

机构信息

School of Economics and Trade, Guangdong University of Foreign Studies, Guangzhou 510006, China.

School of Economics and Trade, Guangdong University of Foreign Studies, Guangzhou 510006, China.

出版信息

Ecotoxicol Environ Saf. 2024 Oct 1;284:116896. doi: 10.1016/j.ecoenv.2024.116896. Epub 2024 Aug 18.

DOI:10.1016/j.ecoenv.2024.116896
PMID:39159541
Abstract

The Guangdong, Hong Kong, and Macao Greater Bay Area (GHMA) has experienced economic development and rapid growth of transportation infrastructure in recent years. However, the economic advancement is also accompanied by serious atmospheric pollution, which threatens the health of the residents, thus, it is of great significance to explore the impact of atmospheric pollution on the health expenditures of residents in the GHMA. The article establishes a spatial econometric model to study the impact of atmospheric pollution on residents' health expenditure in the GHMA based on panel data from 2014 to 2021, using nine prefectures in the GHMA as research objects. The results show that: (1) Atmospheric pollution in the GHMA has an obvious spatial agglomeration phenomenon and spatial spillover effect, and the impact of atmospheric pollution on the health of the residents is still very serious; (2) PM2.5 emissions are positively and significantly related to the actual health care cost per person, and the rise in air pollution is the main reason for the rise in public health spending; (3) Other factors also have different impacts on residents' health expenditures. Based on the above research, the article puts forward corresponding policy recommendations.

摘要

粤港澳大湾区(GHMA)近年来经历了经济发展和交通基础设施的快速增长。然而,经济的进步也伴随着严重的大气污染,这威胁着居民的健康,因此,探索大气污染对 GHMA 居民健康支出的影响具有重要意义。本文基于 2014 年至 2021 年的面板数据,以 GHMA 的九个地级市为研究对象,建立空间计量经济学模型,研究大气污染对 GHMA 居民健康支出的影响。结果表明:(1)GHMA 的大气污染具有明显的空间集聚现象和空间溢出效应,大气污染对居民健康的影响仍然非常严重;(2)PM2.5 排放与人均实际医疗保健费用呈正相关且显著,空气污染的加剧是公共卫生支出增加的主要原因;(3)其他因素也对居民健康支出产生不同的影响。基于上述研究,本文提出了相应的政策建议。

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