政府卫生支出规模的影响因素研究——基于中国省级面板数据的实证分析  

The Determinants of Government Health Spending in China:Based on Empirical Analysis of Chinese Provincial Panel Data

作　　者：肖海翔[1] 刘乐帆[2] 

机构地区：[1]湖南大学经济与贸易学院 [2]英国诺丁汉大学经济学院

出　　处：《中国社会科学院研究生院学报》2013年第2期44-52,共9页Journal of Graduate School of Chinese Academy of Social Sciences

基　　金：国家社会科学基金项目(编号:11CJL029);湖南大学“中央高校基本科研业务费专项资金”项目(编号:38)的成果

摘　　要：扩大政府卫生支出规模已经成为新一轮医疗卫生改革顺利实施的基础。运用中国31个省市2002年～2010年的面板数据建立政府卫生支出影响因素模型,在考虑被解释变量滞后项和部分解释变量内生性的基础上,运用GMM估计方法分析影响中国政府卫生支出规模的主要因素,结果表明：滞后一期和二期政府卫生支出、人均实际GDP、财政分权、环境污染、城镇化率和住院分娩率对政府卫生支出有显著影响。上述实证结果为新一轮医疗卫生改革的推进提供了重要的政策参考信息：扩大政府卫生支出规模要与经济发展相协调;应考虑改进和完善现行财政分权体制;应加强对地方政府医疗卫生服务方面的考核。The expansion of government health spending has become the basis for the implementation of the new round health care reform. This paper establishes government health expenditure determinants model using the provincial-level data for the period of 2002--2010 in China. Considering the lag terms of dependent varia- bles and endogenous variables existing in the independent variables, we apply GMM approach to analyze the core determinants of government health expenditure. The empirical results suggest： the lag one and two period government health spending, GDP, fiscal decentralization, environment pollution, urbanization rate and hospital delivery rate have significant impacts on government health spending. The above results provide im- portant policy implications for the progress of the new round health care reform： increasing the scale of gov- ernment health spending should go in accord with the economic development; the current fiscal decentraliza- tion system needs to be improved; health care service should be taken into account for regional performance examination.

关 键 词：政府卫生支出规模 医疗卫生改革 医疗保健 

分 类 号：F812.45[经济管理—财政学] R197.1[医药卫生—卫生事业管理] F224[医药卫生—公共卫生与预防医学]