我国区域健康状况的收敛性分析

Analysis on the Convergence of Regional Health Status in China

目的:通过与居民健康相关的省际面板数据,分析中国不同地区的健康不平等状况和区域健康的收敛性。方法:运用面板GLS法测度了区域健康状况的Beta收敛模型,并计算泰尔指数来度量健康不平等的现状。结果:无条件Beta收敛不成立,由最初的健康状况差异引起的健康不平等状况不会随着时间改善;条件Beta成立,收入、环境质量等外部因素会使区域健康状况的路径呈收敛趋势。泰尔指数的计算结果显示,东部地区区域内健康不平等状况经历了先扩大后缩小的过程,中西部区域内则呈现稳中有降的态势,区域间的不平等状况近年来呈扩大趋势。结论:深化医疗体制改革,控制医疗卫生服务价格水平,并扩大医疗保障覆盖范围,提高医疗费用报销比例。

Objective： Based on the provincial panel data related to the resident health, it analyzed the inequality situation and the convergence of regional health in different area in China. Method： Using panel GLS method to measure the Beta convergence model of regional health situation, and calculate Theft index to evaluate the inequality situation of health. Results： If unconditional convergence failed, the inequality situation of health caused by the initial difference of it would not get better over time. If conditional Beta convergence was satisfied, external factors as income, environmental quality, etc would make the path of the regional health situa- tion tend to be convergent. The result from Theil index calculation showed that the inequality situation in the eastern district expand- ed then reduced. In the central and western district, the inequality stays mostly stable with little reduction. The inequality among dif- ferent districts tended to expand these years. Conclusion： It needed to further deepen reform in healthcare system, control the medi- cal and health service fee, expand the coverage of the healthcare system and improve the reimbursement of medical expenses.