摘要
目的:研究政府卫生投入对健康产出的影响、空间溢出效应以及异质性。方法:基于2010—2020年间省级面板数据,通过空间杜宾模型,分析我国政府卫生投入规模、效率、结构对健康产出的影响以及空间溢出效应,并对根据Moran's I测算的高、低健康产出空间集聚区进行异质性分析。结果:第一,政府卫生投入规模对健康产出存在显著的积极影响及空间正向溢出效应;投入效率有助于直接提高本地健康产出,并间接增强投入规模对健康产出的影响及空间正向溢出效应,但是目前投入效率本身未产生显著的空间溢出效果;投入结构中的“补供方”与“补需方”投入对健康产出具有显著性影响及空间正向溢出效应,但两者需合理配置,相比而言,当前“补需方”投入对健康产出的促进作用更明显,过度增加“补供方”投入,不利于健康产出最大化。第二,政府卫生投入对健康产出的影响及空间溢出效应具有异质性,其中低健康产出集聚区,健康产出绩效主要来源于投入规模,高健康产出集聚区投入效率和结构的作用更明显,而且高健康产出集聚区投入规模、效率和结构的空间正向溢出效应均大于低健康产出集聚区。结论:政府卫生投入最大化促进健康产出,还应从规模、效率、结构以及资金空间投入均等化等方面进行优化。
Objective:To explore the impact of government health input on health outcome,spatial spillover effect,and heterogeneity.Method:Based on provincial-level panel data from 2010 to 2020,the spatial Durbin model was used to analyze the impact of government health input scale,efficiency,and structure on health outcome,as well as spatial spillover effects.Heterogeneity analysis was also conducted on the high and low health outcome spatial agglomeration areas calculated based on Moran's I.Results:Firstly,Government health input scale has a significant positive impact and spatial positive spillover effect on health outcome;Input efficiency helps to directly improve local health outcome and indirectly enhance the impact of input scale on health outcome and spatial positive spillover effects.However,currently,input efficiency itself has not produced significant spatial spillover effects;The inputs of“supply side”and“demand side”in the input structure have both had a positive impact on local health output and have a significant spatial positive spillover effect,but both need to be reasonably allocated.Compared to the current,“demand side”bring more significant health outcome benefits,excessive increase in“supply side”is not conducive to maximizing health outcome.Secondly,the impact and spatial spillover effect of government health input on health outcome has heterogeneous,in low health outcome clusters,health outcome performance mainly comes from input scale,while in high health outcome clusters,the effect of input efficiency and structure is more significant.Moreover,the spatial positive spillover effect of input scale,efficiency,and structure in high health outcome clusters are greater than those in low health output clusters.Conclusions:Maximizing government health input to promote health outcome should also be optimized in terms of scale,efficiency,structure,and equalization of funding space input.
作者
明海蓉
胡克刚
MING Hai-rong;HU Ke-gang(School of Economics,Xi'an University of Finance and Economics,Xi'an Shaanxi 710100,China)
出处
《中国卫生政策研究》
CSCD
北大核心
2024年第3期31-39,共9页
Chinese Journal of Health Policy
基金
陕西省社会科学基金项目(2023D033)。
关键词
政府卫生投入
健康产出
空间溢出效应
异质性
Government health input
Health outcome
Spatial spillover effect
Heterogeneity
