数字基础设施是否有助于改善公共卫生? 一个基于中国宽带政策的准自然实验
Yiwei Liu1, Keshan Liu1, XiangLin Zhang1
1School of Government, Central University of Finance and Economics, 39 South College Road, Haidian District, Beijing 100081, China.
数字基础设施建设显著提升了公共卫生,特别是对于年轻,受教育程度较低的人来说. 这一政策提高了医疗服务的使用,促进健康的习惯,减少健康差距,促进更大的健康公平.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 数字化政策 数字化政策
背景情况:
- 数字基础设施越来越被认为是公共卫生的一个决定因素.
- 了解数字基础设施对健康结果的因果关系对于政策制定至关重要.
研究的目的:
- 调查数字基础设施建设对人们健康的因果关系.
- 探索数字基础设施影响健康的机制.
- 检查对健康公平的影响.
主要方法:
- 利用了中国家庭小组研究 (2010-2020) 数据集.
- 采用了一种近乎自然的实验设计,重点关注中国宽带政策 (2014-2016).
- 应用了多次差异差异方法来确定因果关系.
主要成果:
- 数字基础设施建设显著改善了整体人口健康.
- 积极的健康影响在年轻/中年和受教育程度较低的人群中更为明显.
- 在医疗服务利用,健康生活方式采用和健康投资方面观察到改善.
- 数字基础设施减少了健康不平等,促进了健康公平.
结论:
- 数字基础设施是改善公共卫生结果和减少健康差距的关键驱动力.
- 专注于数字基础设施的政策干预可以带来重大的健康益处.
- 可能需要有针对性的策略来最大限度地提高不同人口群体的收益.
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