区域财政医疗卫生支出演进与收敛性研究:1996—2015

Regional Finance and Health Expenditure Evolution and Convergence:1996—2015

通过1996—2015年我国四大区域财政医疗卫生支出数据,发现:从支出总量来看呈现东部地区>西部地区>中部地区>东北地区的趋势;从支出力度来看,中部地区力度最大,达到9.14%,其他地区支出力度相对较低,在5.5%左右;从人均支出来看,东部地区远远超过平均值,其他地区落后于平均值;20年来泰尔指数不断下降,说明区域差距不断缩小,前10年区域间差距起主导作用,后10年区域内差距作用变大;区域间存在δ-收敛,但是却不具有β-收敛。因此,提高财政医疗卫生支出水平,强化医疗卫生投入的政府责任;优化转移支付制度,解决区域内的不均等问题;优化事权划分,适当提高中央政府财政医疗卫生事权;创造公共服务的"竞争性市场",鼓励地方加大对财政医疗卫生的投入。

According to the data of the four regions’financial and medical expenditure in China from1996 to 2015,it is found that the eastern region〉the western region〉the central region〉the northeastern region trend;from the expenditure intensity,the central region The largest in the eastern region is more than the average,the rest of the region is behind the average;20 years,the Tyrolean index has been declining,indicating that the region has been relatively low,at around 5.5%The gap is narrowing,the inter-regional gap plays a leading role in the first 10 years,and the gap in the region is larger after 10 years.There isδ-convergence between regions,but it does not haveβ-convergence.Therefore,to improve the level of financial health expenditure,strengthen the government responsibility of medical and health investment;optimize the transfer payment system to solve the problem of regional inequality;optimize the division of powers,appropriate to improve the central government financial health and health rights;create public services＂Market＂to encourage local increase in financial and health investment.