妇幼保健筹资机制选择的东西部比较研究——基于省际数据的实证分析

A comparative research on the financial system of maternal and child care between east and west part of China

妇幼保健水平的提高是促进以人为本和谐社会建设的重要目标。本文首先对东西部妇幼保健整体水平做一对比,并从筹资结构入手,结合实地调研,揭示了我国妇幼保健事业已呈现东、西部非均衡发展态势。再通过对我国31个省市自治区截面数据的实证分析发现,各地人均收入、财政卫生支出、GDP增长等因素对其妇幼卫生水平影响显著。最后本文针对地区差别的成因,提出东、西部妇幼保健应分别选择不同的筹资机制:在东部以"补需方"为主,在西部则以"补供方"为主。

The improvement of maternal and child care is one of the most significant goals in the construction of harmonious society with the concept of ＂people oriented, people foremost＂. This article firstly compares the overall condition of maternal and child care between East and West China. Combined with a field study, the regional non-equalization is obviously revealed from the aspect of financial structure. Additionally, according to the result of empirical analysis based on the cross-sectional data, we can clearly find that the level of maternal and child care in different areas is dramatically influenced by local per capita income, fiscal health spending and the growth of GDP. Therefore, east and west China should adopt different forms of financing ： In east China, governments ought to invest more on de- mand side; Meanwhile, in west China, governments are supposed to make up the supply side.