成本约束、不确定性与公共卫生支出效率测算  

Cost Constraint, Uncertainty and Measurement on Public Health Expenditure Efficiency

作　　者：余栋 石大千[1] Yu Dong, Shi Daqian(School of Economics, Huazhong University of Science and Technology, Wuhan 430074, Chin)

机构地区：[1]华中科技大学经济学院

出　　处：《统计与决策》2018年第6期83-87,共5页Statistics & Decision

摘　　要：文章基于异质性随机前沿模型,定量测算了中国各省在存在成本约束的情况下的卫生支出效率。结果表明：财政分权、经济发展水平、人口密度提高了卫生支出效率,受教育水平降低了卫生支出效率,医疗改革作用不显著。成本约束的存在使得我国卫生支出效率比最优水平低了15%～25%,平均支出效率为79.7%。在分地区效率估计中,东部效率最高,西部其次,中部最低。各省效率值排名表明,西藏卫生支出效率最高,这主要得益于国家政策对民族地区的大力扶持,卫生支出成本较低。This paper relies on heterogeneity stochastic frontier model to quantitatively estimate health expenditure efficiency of each Chinese province under the condition of cost constraints. The results show that fiscal decentralization, economic develop- ment level and population density increase the efficiency of health expenditure; education level reduces the health expenditure ef- ficiency, and health care reform has no significant effect; cost constraint makes China＇ s health expenditure efficiency 15%-25% lower than the optimal level, with an average expenditure efficiency of 79.7%; as for regional efficiency estimation, the eastern is the most efficient, followed by the western, and the central is the lowest. Provinces＇ efficiency value rankings show that Tibet has the highest health expenditure efficiency, mainly due to the national policy vigorously supporting the ethnic regions and lower cost of health expenditure.

关 键 词：卫生支出效率 成本约束 不确定性 随机前沿模型 

分 类 号：F810.45[经济管理—财政学]