健康中国建设中“重医轻卫”对居民健康水平的影响研究——基于政府支出结构视角  

Research on the Impact of"Emphasizing Medical Care over Public Health"in Healthy China Development on Residents'Health Levels:Based on the Perspective of Government Expenditure Structure

作　　者：庞瑞芝[1] 郑思源 李倩楠 PANG Ruizhi;ZHENG Siyuan;LI Qiannan(Enterprise Research Center,Nankai University,Tianjin 300071,China;School of Economics,Nankai University,Tianjin 300071,China)

机构地区：[1]南开大学企业研究中心,天津300071 [2]南开大学经济学院,天津300071

出　　处：《贵州财经大学学报》2025年第1期42-50,共9页Journal of Guizhou University of Finance and Economics

基　　金：国家社会科学基金重点项目“后疫情时代我国卫生资源结构性失衡考察与优化配置路径研究”(21AJY012)。

摘　　要：深入研究“重医轻卫”对居民健康水平的影响,对优化政府卫生支出结构、提升医疗卫生体系整体效能、推进健康中国战略建设具有重要的现实意义。在研究视角上,与现有文献关注于政府卫生支出总量不同,文章着重从政府支出结构视角,基于2013—2019年中国省级面板数据,通过双向固定效应模型检验了“重医轻卫”对居民健康水平的影响。结果显示:“重医轻卫”显著降低了居民健康水平,这一结论在使用系统GMM回归缓解内生性以及Tobit广义线性回归模型进行稳健性检验后仍然成立;“重医轻卫”对居民健康水平的影响具有区域异质性,东部和中部地区已经凸显,西部地区暂未显现。In-depth research on the impact of"emphasizing medical care over public health"on residents'health levels is of great practical significance for optimizing structure of government health spending,enhancing the overall efficiency of the medical and health system,and promoting the construction of the Healthy China strategy.From the perspective of research,unlike the existing literature that focuses on the total amount of government health spending,this research focuses on the structure of government.Based on China's provincial panel data from 2013 to 2019,a two-way fixed effect model is used to examine the of"emphasizing medical care over public health"on residents'health levels.The results show that"emphasizing medical care over public health"has significantly reduced the health level of residents,and this conclusion still holds alleviating endogeneity using system GMM regression and conducting robustness tests using Tobit generalized linear regression model.The impact of"emphasizing medical care over public health"on residents'health levels has regional heterogeneity,which has already become prominent in eastern central regions,but has not yet appeared in western regions.

关 键 词：健康中国 公共卫生 政府卫生支出 资源配置失衡 居民健康水平 

分 类 号：F062.6[经济管理—政治经济学]