地方财政投入水平对卫生资源配置效率的驱动影响:基于门槛回归的实证研究  

The Impact of Local Fiscal Investment on the Efficiency of Health Resource Allocation:An Empirical Study Based on Threshold Regression

作　　者：时钢 李祥飞[2] 胡青竹 金久暄 付文鹏[3] 龚超 Shi Gang;Li Xiangfei;Hu Qingzhu(Tianjin Anding Hospital,Tianjin,300074,China;不详)

机构地区：[1]天津市安定医院,天津300074 [2]天津工业大学,天津300387 [3]天津市第二人民医院,天津300192 [4]天津医学高等专科学校,天津300222

出　　处：《中国卫生经济》2025年第1期34-39,共6页Chinese Health Economics

基　　金：国家社会科学基金一般项目(22BGL223)。

摘　　要：目的:探讨地方财政投入对我国卫生资源配置效率的影响,分析其非线性关系,为制定卫生政策提供依据。方法:基于2010—2022年全国31个省、自治区、直辖市的数据,采用超效率SBM模型测度卫生资源配置效率,结合核密度估计分析其分布动态,利用门槛回归模型评估不同财政投入水平对效率的影响。结果:地方财政投入对卫生资源配置效率存在显著门槛效应。核密度估计表明,随着投入增加,效率分布趋于集中,高效率区域增多,低效率区域减少。门槛回归结果显示,当财政投入超过7.1%关键门槛后,正向影响显著增强。结论:提高财政投入关键门槛可显著提升卫生资源配置效率。政策制定者应结合区域差异,制定差异化策略,加强执行与监督,确保资金有效使用,从而优化卫生资源配置。Objective:It explored the effects of local financial input on the efficiency of health resource allocation in China,and analyzed its nonlinear relationship,so as to provide a basis for health policy formulation.Methods:Based on the data of 31 provinces,municipalities and autonomous regions from 2010 to 2022,the super-efficiency SBM model was used to measure the allocation efficiency of health resources,and its distribution dynamics were analyzed in combination with kernel density estimation.The threshold regression model was used to evaluate the impact of different financial input levels on the efficiency.Results:Local financial input has significant threshold effect on health resource allocation efficiency.Kernel density estimation shows that with the increase of input,the efficiency distribution tends to be concentrated,the high efficiency region increases,and the low efficiency region decreases.Threshold regression results show that when the financial input exceeds the key threshold of 7.1%,the positive impact is significantly enhanced.Conclusion:Raising the key threshold of financial input can significantly improve the efficiency of health resource allocation.Policymakers should take regional differences into account,formulate differentiated strategies,strengthen implementation and supervision,ensure the effective use of funds,so as optimize health resource allocation.

关 键 词：地方财政投入 卫生资源配置效率 门槛回归 超效率SBM模型 核密度估计 

分 类 号：R1-9[医药卫生—公共卫生与预防医学] F241[经济管理—劳动经济]