我国卫生总费用与经济增长的动态关系

The Dynamic Relationship of Total Health Expenditure and Economic Growth

目的:研究我国卫生总费用以及其筹资结构与经济增长的动态关系,为我国卫生经济政策的制定提供依据。方法:运用具有多个结构突变点的回归模型,估计模型参数发生结构突变的时点。结果:卫生总费用和社会支出卫生费用相对于经济增长的弹性系数保持稳定,政府支出卫生费用相对于经济增长的弹性系数先变小再变大,而个人支出卫生费用相对于经济增长的弹性系数先变大再变小。结论:在20世纪90年代初,政府支出在卫生筹资领域的责任弱化,导致个人支出负担大大加剧,自2004年以来,这种局面开始逆转。

Objective： To study the dynamic relationship of total health expenditure and economic growth so as to provide references for designing health economic policies. Methods： Using the regression models with muhiple structural changes to estimate the struetural change point of model parameter. Results： Compared to the elastic coefficient of economic growth, the total health expenditure and social health expenditure remained stably, the elasticity coefficient of government spending on health increased after decreased while elastic coefficient of personal spending health costs decreased ＇after increased. Conclusion： In the early years of 1990s, the responsibility of government in health care financing funding weakened, which led to the increasing personal expenses. The situation began to reverse since 2004.