中国健康绩效的动态演进:公平与效率的权衡  

Health Achievement Index in China: Equity-Efficiency Tradeoff

作　　者：解垩[1] 涂罡[2] 

机构地区：[1]山东大学经济学院,山东济南250100 [2]山东财政学院研究生处,山东济南250014

出　　处：《中国软科学》2011年第7期9-16,共8页China Soft Science

基　　金：中国博士后科学基金(20110490019);山东大学自主创新基金(2009TB004)资助

摘　　要：利用中国健康与营养调查(CHNS)数据,计算了我国城乡健康扩展集中系数和健康绩效指数,结果显示:1991-2006年,城乡健康水平呈现下降趋势,最穷个体的健康下降程度最大;2000年以后,城乡健康标准集中系数显著为正,表明我国存在亲富人的健康不平等,高收入人群的健康状况更好;在平均健康水平逐渐下降,亲富人的健康不平等增加的情况下,我国的卫生健康绩效逐年下降;女性人口、非老年人口、第一产业比重、低失业率以及政府卫生支出正向影响到了健康绩效,卫生资源与健康绩效没有关系。Based on the China Health and Nutrition Surveys（CHNS）,this paper analyzes health extended concentration and achievement Indices.The main conclusion is that urban and rural＇s health level decreased from 1991 to 2006,the poorest quintile suffer decreased mostly.Standard concentration was positive significantly since 2000.That means the health is pro-rich.An unequal distribution across income groups to the poor and a lower mean health level decreases China＇s achievement Indices.Higher proportions of males and older individuals（65 years＋） are associated with lower health achievement.A larger primary industry and a lower unemployment are associated with higher health achievement.In particular,a higher proportion of state and local government spending on public health is found to be significantly associated with better health achievement.In contrast,medical care resource indicators are not found to contribute to health achievement.

关 键 词：健康不平等 健康平均水平 健康绩效指数 公平效率权衡 

分 类 号：F062.6[经济管理—政治经济学]