我国31省份城乡人均医疗保健支出空间自相关差异性研究
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摘要
目的:分析我国城乡人均医疗保健支出和空间相关性的差异,为我国城乡卫生资源合理配置提供理论参考。方法:分别采用空间计量经济学的全局莫兰指数和局部莫兰指数分析我国人均医疗保健支出空间相关性。结果:2012—2016年我国31省份农村人均医疗保健支出年平均增长速度为15.47%,城镇人均医疗保健支出年平均增长速度为12.04%;城乡全局莫兰指数均为正值,且具有统计学意义(P<0.01);2012—2016年城乡局部莫兰指数主要呈现H-H和L-L聚集区。结论:我国城乡人均医疗保健支出增长过快,两者之间存在差异,我国31省份城乡人均医疗保健支出存在空间相关性,部分省份存在明显的地区聚集性。
Objective: To analyze urban and rural per capita health expenditures and the difference of spatial correlation. And it provides theoretical reference for the rational allocation of health resources in China. Methods: The global and local Moran's I of spatial econometrics were used to analyze the spatial correlation of per capita urban and rural health care expenditure in 31 provinces. Results: From 2012 to 2016, the average annual growth rate of per capita medical care expenditure in 31 provinces in China was 15.47%, and that of urban per capita medical care expenditure was 12.04%.The global Moran's I in both urban and rural areas was positive and statistically significant(P<0.01).From 2012 to 2016, the local Moran's I index of urban and rural areas mainly presented the h-h and l-l agglomeration areas. Conclusion: The per capita medical care expenditure in urban and rural areas in China has grown too fast, and there are differences between urban and rural areas. There is a spatial correlation between the per capita medical care expenditure in 31 provinces, and there is a significant regional aggregation in some provinces and cities.
Objective: To analyze urban and rural per capita health expenditures and the difference of spatial correlation. And it provides theoretical reference for the rational allocation of health resources in China. Methods: The global and local Moran's I of spatial econometrics were used to analyze the spatial correlation of per capita urban and rural health care expenditure in 31 provinces. Results: From 2012 to 2016, the average annual growth rate of per capita medical care expenditure in 31 provinces in China was 15.47%, and that of urban per capita medical care expenditure was 12.04%.The global Moran's I in both urban and rural areas was positive and statistically significant(P<0.01).From 2012 to 2016, the local Moran's I index of urban and rural areas mainly presented the h-h and l-l agglomeration areas. Conclusion: The per capita medical care expenditure in urban and rural areas in China has grown too fast, and there are differences between urban and rural areas. There is a spatial correlation between the per capita medical care expenditure in 31 provinces, and there is a significant regional aggregation in some provinces and cities.
引文
[1]马安宁,张建华,高润国.全民基本免费医疗才是医改的“中国梦”[J].中国卫生资源,2015,18(3):150-152.
[2]陈强.高级计量经济学及Stata应用[M].北京:高等教育出版社,2010.
[3]张廷海,王点.工业集聚、空间溢出效应与地区增长差异——基于空间杜宾模型的实证分析[J].经济经纬,2018,35(1):86-91.
[4]陈强.高级计量经济学及Stata应用[M].北京:高等教育出版社,2014.
[5]沈晓燕,李建国.基于人口结构的我国医疗保健支出区域差异研究[J].卫生经济研究,2016(5):18-21.
[6]周绿林,刘畅,张心洁.城乡居民医疗资源利用的时空差异与经济分析:基于江苏省的研究[J].中国卫生经济,2016,35(9):62-66.
[7]程杨杨,山珂,井淇,等.城乡视角下我国居民医疗保健支出空间分布研究[J].中国卫生经济,2015,34(11):54-58.
[8]周凤秀,张建华.人口年龄结构对居民医疗保健支出影响的区域及城乡差异[J].中国卫生经济,2016,35(10):48-50.
[2]陈强.高级计量经济学及Stata应用[M].北京:高等教育出版社,2010.
[3]张廷海,王点.工业集聚、空间溢出效应与地区增长差异——基于空间杜宾模型的实证分析[J].经济经纬,2018,35(1):86-91.
[4]陈强.高级计量经济学及Stata应用[M].北京:高等教育出版社,2014.
[5]沈晓燕,李建国.基于人口结构的我国医疗保健支出区域差异研究[J].卫生经济研究,2016(5):18-21.
[6]周绿林,刘畅,张心洁.城乡居民医疗资源利用的时空差异与经济分析:基于江苏省的研究[J].中国卫生经济,2016,35(9):62-66.
[7]程杨杨,山珂,井淇,等.城乡视角下我国居民医疗保健支出空间分布研究[J].中国卫生经济,2015,34(11):54-58.
[8]周凤秀,张建华.人口年龄结构对居民医疗保健支出影响的区域及城乡差异[J].中国卫生经济,2016,35(10):48-50.