我国31个省农村人均医疗保健支出空间相关性分析  

Spatial Autocorrelation Analysis of Expenditure on Per Capita Rural Health Care Expenditure in 31 Provinces in China

作　　者：李旭 刘倩[1] 仇蕾洁 姜鑫洋 马安宁[3,2] 盛红旗 李亚征 何显智 马桂峰 LI Xu;LIU Qian;QIU Lei-jie(Weifang Medical Universit;＂Health Shandong＂ Severe Social Risk Prediction and Governance Collaborative Innovation Center,Weifang,Shandong,261053,China)

机构地区：[1]潍坊医学院,山东潍坊261053 [2]"健康山东"重大社会风险预测与治理协同创新中心,山东潍坊261053 [3]济宁医学院,山东济宁272113 [4]潍坊市人力资源与社会保障局,山东潍坊261041

出　　处：《中国卫生经济》2018年第11期48-51,共4页Chinese Health Economics

基　　金：国家自然科学基金项目(71673202);山东省研究生导师指导能力提升项目(SDYY17104)

摘　　要：目的:分析我国31个省农村人均医疗保健支出的空间相关性,为制定区域性卫生政策提供理论参考。方法:分别采用空间计量经济学的全局莫兰指数和局部莫兰指数分析我国31个省农村人均医疗保健支出空间相关性。结果:2011—2016年我国31省份农村人均医疗保健支出全局莫兰指数分别为0.132、0.138、0.081、0.116、0.116和0.090,均有统计学意义。北京市、天津市、上海市、吉林省、黑龙江省、浙江省、云南省及西藏自治区等在研究阶段局部莫兰指数均为有统计学意义的正值。结论:我国东部地区与中西部地区的农村人均医疗保健支出差距悬殊,我国31个省农村人均医疗保健支出存在空间相关性,部分省市对于周围区域的农村人均医疗保健支出具有较强的地域相关性。建议国家在制定医疗卫生政策时,应考虑区域之间的相关性,同时也要警惕区域卫生中心对周边地区的费用拉动和虹吸现象。Objective： To analyze the spatial correlation of rural individual medical care expenditure in 31 provinces, so as tp provide theoretical references for the formulation of regional health policies. Methods： The global and local Moran s I of spatial econometrics were used to analyze the spatial correlation of per capita rural health care expenditure in 31 provinces Results： From 2011 to 2016, the global of per capita medical care expenditure in 31 provinces of China were 0.132, 0.138, 0.081, 0.116, 0.116 and 0.090（P〈0. 001）. The local Moran＇s I of Beijing, Tianjin, Shanghai, Jilin, Heilongjiang, Zhejiang, Yunnan and Tibet were all positive with statistical significance at the research stage. Conclusion： There was a wide gap between the per capita medical care expenditure in the eastern region, the central and western regions of China. There was a spatial correlation between the per capita medical care expenditure in China. Some provinces and cities had a strong regional correlation with the per capita expenditure of rural health care in the surrounding areas. It was suggested that the government should consider the correlation between regions when formulating medical and health policies, pay attention to the phenomenon of regional health centers pulling costs and siphoning in surrounding areas.

关 键 词：农村居民 人均医疗保健支出 莫兰指数 空间相关性 

分 类 号：R19[医药卫生—卫生事业管理] F014.4[医药卫生—公共卫生与预防医学]