我国经济发展、基层卫生投入与居民健康的关系研究

Analysis on the Relationship among Economic Development, Primary Health Input and Resident Health

目的:研究我国经济发展、基层卫生投入与居民健康之间的关系。方法:对居民健康数据进行邹变点检验,确定分段式模型研究,并对三变量进行分段平稳性检验,检验通过后建立协整回归模型。结果与结论:我国经济发展、基层卫生投入与居民健康之间存在协整关系,并呈现出阶段式特点,第一阶段经济发展对居民健康存在正向影响作用,GDP投入每增加1%,健康水平就会增加0.041%,此阶段基层卫生投入与居民健康之间的关系未通过显著性检验;第二阶段基层卫生投入对居民健康存在负向影响作用,基层卫生投入增加1%,居民健康就会下降0.142%,由此可知,当前我国基层卫生投入未能对居民健康起到一定的促进作用,这也是近期我国医疗体制改革的重点和方向之一。

Objective： To study the relationship among economic development, the primary health input and resident health. Meth- ods： Chaw change-point test was conducted on resident health data, define sectional type analysis and sectional test was conducted on ternary variables. The co-integration regression model was established after the test. Results and Conclusion： There was co-integra- tion relationship among the economic development, primary healtll input and resident health, which showed seclional characteristic. The first section of economic development had positive impact on resident health. GDP input increased by 1%, and the health level wouhl be increased by 0.041%. In the first section, the relationship between primary health input and resident heahh did not pass significant test. In the second section, primary health input had negative impact on resident health. The primary health input increased by 1%, resident health would decrease by 0.142%. Therefore, the current primary health input could not have improvement effect on resident health, which was one of the tbcus and direction of medical system reform in China.