人口流动性:政府卫生支出在中国的空间溢出效应
1School of Public Finance & Public Administration, Jiangxi University of Finance and Economics, Nanchang, China.
Global health action
|March 11, 2024
概括
随着时间的推移,政府的医疗支出在当地和区域不同程度上对全民健康覆盖 (UHC) 有不同的影响. 人口流动 (PM) 显著缓解了这些影响,影响了政策决策,以获得更好的UHC结果.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 空间计量经济学空间计量
背景情况:
- 全民健康覆盖 (UHC) 是一个关键的全球发展目标.
- 人口流动 (PM) 为有效的卫生支出部署带来了挑战.
- 了解政府卫生支出 (GHE) 和UHC之间的相互作用至关重要.
研究的目的:
- 为中国制定一个全面的UHC指数.
- 分析GHE对UHC的空间影响.
- 调查PM在GHE-UHC关系中的调节作用.
主要方法:
- 使用了一个动态空间德宾模型 (DSDM).
- 该研究评估了GHE对UHC的影响.
- 经验测试了PM的缓解作用.
主要成果:
- 短期:GHE对当地UHC产生了负面影响,但对邻近地区产生了积极影响. 长期:GHE改善了当地的UHC,但在邻近地区减少了它.
- 颗粒物值确定了GHE的影响:短期 (PM>1.42) 提升了当地UHC;长期 (PM>1.107) 阻碍了当地UHC.
- 长期的PM (>0.91) 促进了邻近地区的UHC,突出了复杂的空间动态.
结论:
- 增加垂直转移支付可以增强UHC.
- 当地医疗保健系统必须适应城市规模,发展和PM.
- 为改善卫生治理,建议优化信息披露机制.
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