我国农村居民医疗保健支出省际差异研究  

Provincial Differences Study on Health Care Expenditure of Rural Residents in China

作　　者：高文倩 王良健[1] GAO Wen-qian;WANG Liang-jian(School of Economics ＆ Trade,Hunan University,Changsha,410079,China)

机构地区：[1]湖南大学经济与贸易学院,长沙410079

出　　处：《中国卫生经济》2018年第11期52-55,共4页Chinese Health Economics

基　　金：国家社会科学基金项目(12BGL102);湖南省国土资源厅软科学研究计划项目(2017-11)

摘　　要：目的:研究我国农村居民人均医疗保健支出省际差异的动态演变特征。方法:综合运用描述性统计分析、差异指数分析、核密度分析及ESDA-GIS等方法对2002—2016年31个省份的面板数据进行实证分析。结果:我国农村居民人均医疗保健支出的省际差异客观存在并且长期处于非均衡的状态,省际差异呈现出先扩大后缩小的态势,差异指数分析和核密度分析变化趋向大致上保持一致。空间自相关分析结果表明农村居民人均医疗保健支出存在正的空间自相关特征,局域空间集聚范围由沿海地区向西南地区扩展。结论:政府在医疗体制改革过程应实施区域差异化战略、完善医疗保险制度,同时引导农村居民定期开展健康检查。Objective： To study the dynamic change characteristics of provincial differences in the average health care expenditure of rural residents. Methods： Using the descriptive statistical analysis, difference index, kernel density estimation and ESDA-GIS to conduct the empirical analysis on the panel data of 31 provinces from 2002 to 2016. Results： The inter-provincial differences in terms of the average health care expenditure among rural residents in China was an objective phenomenon and has been in an unbalanced state for a long time. The inter-provincial difference expanded first and then shrined, and the variation tendency of difference index analysis and kernel density estimation were basically consistent. The spatial autocorrelation analysis indicated that there was a positive spatial autocorrelation feature for the average health care expenditure of rural residents, and the range of local spatial clustering expanded from the coastal areas to the southwest areas. Conclusion： The government should implement a regional differentiation strategy and improve the medical insurance system during the reform of the medical system, while guiding rural residents to carry out regular health checks.

关 键 词：农村居民 医疗保健支出 省际差异 

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]