政府卫生支出健康效率测算及分析  

Measurement and analysis of government health expenditures and health efficiency

作　　者：肖海翔[1] 曹天舒[1] 唐李伟[2] 

机构地区：[1]湖南大学经济与贸易学院,湖南长沙410079 [2]湖南大学金融与统计学院,湖南长沙410079

出　　处：《中国卫生政策研究》2014年第11期71-77,共7页Chinese Journal of Health Policy

基　　金：国家社会科学基金(11CJL029);国家自然科学基金(71103060)

摘　　要：目的:测算和分析中国1990年、2000年和2010年政府卫生支出的健康效率及其影响因素。方法:运用DEA和Tobit测算政府卫生支出的健康效率,评估效率值的影响因素。结果:政府卫生支出的健康生产效率在波动中有所提高,不同年度处于前沿面的省份基本一致,远离前沿面的省份存在较大差别;该效率在各区域间的差异较显著,东部地区政府卫生支出的健康生产效率高于中、西部地区;财政分权与政府卫生支出健康效率存在显著负相关关系。结论:财政分权制度的改革与完善是提高政府卫生支出健康效率的重要途径。Objective： To calculate the health efficiency of government health expenditures in 1990,2000 and2010 and analyze its determinants. Methods： To calculate the health efficiency of government health expenditures and analyze its determinants by using the DEA-Tobit model. Results： Health efficiency of government health expenditures has been increasing gradually; the same provinces are found to be on the productive frontier,but the provinces off the frontier are different; eastern provinces have a higher efficiency than those in the middle and western regions. Fiscal decentralization has a significant negative impact on health efficiency. Conclusion： The current Chinese fiscal decentralization system reform is important to improve the health efficiency of government health expenditures.

关 键 词：政府卫生支出 健康效率 财政分权 

分 类 号：R197[医药卫生—卫生事业管理]