财政分权、卫生改革与地方政府卫生支出效率——基于省际面板数据的测算与实证  

Fiscal Decentralization,Health System Reform and Health Expenditure Efficiency of Local Governments——An Empirical Analysis Based on Panel Data of 31 Provinces in China

作　　者：张仲芳[1] 

机构地区：[1]江西财经大学财税与公共管理学院

出　　处：《财贸经济》2013年第9期28-42,共15页Finance & Trade Economics

基　　金：国家社会科学基金项目"全民医疗保障目标下医疗卫生公共投入研究"(10CJY070);国家自然科学基金项目"新型农村合作医疗政策效应的定量化评估及其在江西省的应用研究"(81260448)的阶段性研究成果

摘　　要：在DEA-Tobit两阶段分析框架下,本文使用1998-2011年省际面板数据,研究了中国地方政府卫生支出效率。应用非参数数据包络分析(DEA)方法测算地方政府卫生支出的综合技术效率、纯技术效率和规模效率,并利用受限因变量Tobit模型对效率评价结果与其影响因素之间的关系进行实证分析。研究结果表明,地方政府卫生支出效率存在显著的地区差异,而决定效率差异的重要因素包括财政分权和医疗卫生体制改革等政策变量,以及人均GDP、居民受教育水平、人口密度、城市化水平等经济与社会因素。Based on panel data of 31 provinces in China from 1998 to 2011, this paper analyzes health expenditure efficiency of local governments by using a two-stage framework of DEA-Tobit. Firstly, using DEA method, it evaluates the composite technical efficiency, pure technical efficiency and scale efficiency of local governmental health expenditure. Secondly, it makes an empirical study on the relationship between efficiency scores and some social and economic factors by Tobit, a limited dependent variable model. The results show that, owing to such social and economic factors as fiscal decentralization degree, health system reform,GDP per capita, education level, population density and urbanization rate, Chinese local governmental health expenditure efficiency varies widely among different areas.

关 键 词：地方政府卫生支出效率 财政分权 卫生改革 DEA—Tobit 

分 类 号：R197.1[医药卫生—卫生事业管理]