国家主导的区域发展战略和居民的多维健康贫困:来自中国伟大西部发展计划的证据
1School of Economic and Management, Southeast University, Nanjing, China.
Economics and human biology
|May 14, 2025
概括
中国的伟大西部发展计划 (GWD) 有效地减少了多维健康贫困. 然而,对农村,老年人和较小的地区的影响是有限的,这表明需要有针对性的改进.
科学领域:
- 发展计划的社会经济影响
- 公共卫生和减少贫困的战略
- 区域经济发展政策 区域经济发展政策
背景情况:
- 中国的大西部发展计划 (GWD) 旨在减少地区差异.
- 多维健康贫困仍然是发展中国家的一个重大挑战.
- 从受益人的角度了解计划的影响对于政策改进至关重要.
研究的目的:
- 系统地评估GWD计划对住宅多维健康贫困的因果影响.
- 分析不同的人口和地理群体GWD影响的异质性.
- 确定驱动该计划对健康贫困影响的关键机制.
主要方法:
- 使用空间回归不连续性 (SRD) 方法.
- 采用宏观和微观数据进行全面分析.
- 在多个测试场景中进行了稳定性检查.
主要成果:
- 该GWD计划显著减少了健康贫困的发生率和强度.
- 对于农村居民,老年人或较小/非优先地区的居民,没有观察到显著的积极影响.
- 确定了规模,城市,政治和效率偏见作为有限影响的潜在原因.
结论:
- 广东医疗卫生计划在减少健康贫困方面表现出积极影响,但影响方面存在显著差异.
- 教育,社会保障,医疗保健,就业和基础设施是减少健康贫困的关键驱动力.
- 建议包括加强高等教育和医生供应,并继续推广GWD,以实现共同繁荣.
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