摘要
目的从空间角度研究中国省级单元卫生支出效率的分布特征及其影响因素。方法采用DEA测算卫生支出效率,GWR模型分析空间影响因素。结果我国省级卫生支出效率具有明显的空间集聚现象。老龄化率、城基保率和人均居民可支配收入对数对卫生支出效率有统计学意义,且均存在空间异质性。结论应重视老龄化和医保等对卫生支出效率的正向作用。GWR模型对于从空间视角讨论地域卫生支出效率间差异是一种很好的政策工具。
Objective To study the distribution characteristics and influencing factors of health expenditure efficiency of provincial units in China from spatial perspective. Methods DEA was used to measure the efficiency of health expenditure. And GWR Model was used to analyze the spatial influencing factors. Results The efficiency of provincial health expenditure has obvious spatial concentration. The aging rate, urban basic insurance rate and logarithm of per capita disposable income have statistical significance for health expenditure efficiency, and have spatial heterogeneity. Conclusion It is necessary to pay attention to the positive effects of aging and medical insurance on health expenditure efficiency. GWR Model is a good policy tool to discuss the difference of provincial health expenditure efficiency from a spatial perspective.
作者
孙玉凤
任天波
时保国
王玉萍
吕晓萌
Sun Yufeng(Ningxia Medical University,Yinchuan,P.R.China)
出处
《中国卫生事业管理》
北大核心
2021年第2期114-116,128,共4页
Chinese Health Service Management
基金
国家自然科学基金地区基金项目“中国西部政府医疗卫生支出受益归属的测算研究”(71764021)
宁夏医科大学特殊人才启动项目“宁夏医疗卫生支出的受益归属研究(XT2017004)”
教育部人文社科基金项目“基于产业融合测度分析的两岸产业合作研究(编号:19YJCGAT004)”。
关键词
卫生支出效率
地理加权回归
空间异质性
省级尺度
health expenditure efficiency
geographically weighted regression
spatial heterogeneity
provincial scale.
