城镇化、老龄化、互联网和居民医疗支出对我国医疗卫生服务水平的影响分析

Analysis on the Impact of Urbanization, Aging, Internet and Resident Medical Expenses on the Service Level of Health Care in China

目的:研究城镇化、老龄化、互联网和居民医疗支出对我国医疗卫生服务水平的影响。方法:使用2002—2013年我国31个省的面板数据,首先对我国各省的医疗卫生服务水平进行评价,然后通过建立空间动态面板数据模型,并采用BCLSDV的方法对模型进行估计。结果:各省医疗卫生服务水平存在滞后的空间外溢效应;城镇化显著地促进了各省医疗卫生服务水平的提高;老龄化显著地限制了各省医疗服务的发展;互联网和居民医疗支出对各省医疗卫生服务水平影响不显著。结论:扩大滞后空间外溢效应;发挥城镇化的积极作用;解决好老龄化给医疗卫生系统带来的挑战;发展互联网+医疗;解决医疗服务的有效供给不足。

Objective： To study the impact of urbanization, aging, internet and residents medical expenses on the service level of health care in China. Methods： Using the 2002-2013 panel data of 31 provinces in China, the service level of health services in China was evaluated. The spatial dynamics panel data model was established and evaluated by BCLSDV method. Results： The spatial spillover effect of medical and health services in the provinces were lagging behind; the urbanization significantly promoted the improvement of medical and health services in the provinces; the aging significantly limited the development of medical services; the in- fluences of internet and resident medical expenses were no! significant. Conclusion： It needed to expand the spillove.r effeet of lagged space; play an actiw~ role in urbanization; solve the challenges of the aging to the medieal and health system; develop the internet and medical trea!ment and solve the sufficient supply of medical services.