基于门槛模型的政府卫生支出最优规模研究  

Study on the optimal model of government health expenditure based on the threshold model

作　　者：谭华伟 张云[1,2,3] 郑万会[1,2,3] 颜维华[1,2,3] 刘宪[1,2,3] 朱小玲[1,2,3] 张培林[1,2,3] 

机构地区：[1]重庆市医院成本管理研究中心,重庆400700 [2]重庆市第九人民医院,重庆400700 [3]重庆市卫生经济学会,重庆400700

出　　处：《卫生经济研究》2016年第10期25-29,共5页

基　　金：重庆市卫生计生委医学科研计划项目"重庆市公立医院的政策补偿和直接补偿差异性研究"(20143044)

摘　　要：利用31个省份1998-2013年的数据构造门槛模型,实证检验我国政府卫生支出最优规模。结果表明,政府卫生支出对经济增长的影响具有门槛效应,我国政府卫生支出规模普遍不足,实际规模与最优规模的非均衡状态弱化了政府卫生支出对资源配置的作用,进而抑制了经济增长;同时,政府卫生支出实际规模与最优规模同经济发展水平之间存在"现实困境"。因此,要加强政府预算支出内部单元规模效应和边际效应研究,合理确定内部分配的优先次序以及实施差异化投入策略。This paper aimed to establish threshold model and examine the optimal model of government health expenditure in China using the data from 1998 to 2013 in 31 provinces. The results showed that the government health expenditure has a threshold effect on economic growth,And the scale of government health expenditure in China is generally insufficient. Besides, the unbalanced state between the actual scale and optimal scale weaken the effect of the government health expenditure on resource allocation, thereby restraining economic growth. Meanwhile, there exists the ＂dilemma＂ between the actual and optimal scale of government health expenditure and the development level of economic growth.

关 键 词：政府卫生支出 全要素生产率 经济增长 门槛效应 最优规模 

分 类 号：R19[医药卫生—卫生事业管理]