转移支付对医疗卫生服务均等化的影响研究  

Study on the Influence of Transfer Payment on the Equalization of Medical and Health Services

作　　者：卫平[1] 薛冰[1] 

机构地区：[1]华中科技大学经济学院,武汉430074

出　　处：《中国卫生经济》2017年第3期12-15,共4页Chinese Health Economics

基　　金：教育部哲学社会科学研究重大课题攻关项目(10JZD0017);中国科技协会课题(2015DCYJ07-2)

摘　　要：目的:研究转移支付对医疗卫生服务均等化影响的门槛效应。方法:基于2000—2014年我国23个省的面板数据,测算医疗卫生服务均等化指数并作为被解释变量,以转移支付、人均GDP和医疗卫生投入等变量作为解释变量,分别以时间和转移支付值为门槛值进行面板门槛回归。结果:转移支付显著促进了医疗卫生服务资源的均等分布,但以330亿元为门槛,超过此门槛后弹性会下降,同时2003年新型农村合作医疗后,转移支付对医疗资源均等分布的弹性也在减少。结论:进一步增加转移支付力度,扩大新型农村合作医疗范围,优化医疗卫生服务资源的均等化分布。Objective： To study the influence of transfer payment on the equalization of medical and health services. Methods： Based on panel data of China＇s 23 provinces from 2000 to 2014, the medical and health services equalization indexes were measured and developed as the explained index. The explanatory variables such as transfer payment, per capita GDP and health care input were involved. The threshold value of time anti transfer payment were applied to developed to conduct the panel threshold regression. Results： Transfer payment significantly promoted the equal distribution of health service resources, but the elastic declined if transfered more than 33 billion yuan as the threshold. Meanwhile, there was a threshold effect that the elastic： of transfer payment to the equalization of China＇s medical and health service declined ＇after NCMC in 2003. Conclusion： To further increase transfer payment, it needed to enlarge the new farmers and scope, optimize the equal distribution of health service resources.

关 键 词：转移支付 医疗卫生服务均等化 门槛效应 

分 类 号：R197.1[医药卫生—卫生事业管理]