中国的财政转移和公共卫生服务:宏观微观分析
Xunhua Tu1, Jie Yan2, Yueyi Wang3
1School of Economics, Sichuan University of Science & Engineering, Zigong, China.
Frontiers in public health
|April 24, 2025
概括
财政转移通过优化支出和提高公平性,大大提高了公共卫生服务. 这项研究引入了评估卫生系统和财政政策相互作用的新框架.
科学领域:
- 公共卫生 公共卫生
- 卫生政策 卫生政策
- 卫生经济学 卫生经济学
背景情况:
- 评估公共卫生服务的现有框架往往忽视了财政政策和系统能力之间的相互作用.
- 迫切需要全面的评估工具,将功能性表现与系统维度相结合.
研究的目的:
- 开发和验证一个新的,多维的公共卫生服务评估框架.
- 分析财政转移机制对中国公共卫生服务提供和卫生公平的影响.
- 为优化财政政策提供可操作的见解,以提高卫生系统的绩效.
主要方法:
- 将功能性能和系统容量维度整合到一个新的评估系统中.
- 应用结构方程建模 (SEM) 和使用多源空间面板数据 (中国1871个县,2001-2020年) 进行模糊综合评估.
- 具有工具变量的固定效应模型用于分析283个县级城市的财政转移机制.
主要成果:
- 在财政转移和公共卫生服务水平之间发现了显著的积极关联.
- 确定了双路调解效应:财政支出重组和健康支出效率优化.
- 观察到与财政政策干预相关的微观健康公平的改善.
结论:
- 财政转移通过支出重组和效率提升对公共卫生服务水平产生积极影响.
- 开发的多维评估系统为评估全球卫生治理提供了一个可复制的模型.
- 基于证据的见解支持通过财政系统优化建立以绩效为导向的问责制和促进健康公平.
相关概念视频
Methods Of Healthcare Delivery System
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Primary Healthcare Services
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
Secondary Healthcare System
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
Issues And Trends In Healthcare Delivery System
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Healthcare Agencies II
There are various healthcare agencies in the United States—some of which are managed by religious institutions and others by different government branches.
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources, and lay...
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources, and lay...
Infectious Diseases and Their Occurrence
Infectious diseases appear in populations through various transmission patterns, influenced by pathogen characteristics, population immunity, environmental conditions, and social behavior. Understanding these patterns is essential for effective public health surveillance and intervention. These categories—sporadic, outbreak, epidemic, pandemic, and endemic—help frame the nature and scope of disease events.Sporadic diseases occur irregularly and infrequently, without a predictable temporal or...
