政府卫生支出效率及其影响因素的再检验——基于Bootstrap-DEA和窗口DEA分析

Research On The Efficiency And Factors Of Government Health Expenditure:Evidence From Bootstrap-DEA and DEA-Window Analysis

本文选取我国267个地级市作为样本，使用Bootstrap-DEA和窗口DEA分析方法对政府卫生支出效率进行研究，实证结果发现我国地市级政府卫生支出效率总体偏低，存在较大的改善空间。分区域的研究表明，政府卫生支出效率呈现出明显的地区差异，而且不存在区域趋同现象。本文进一步研究了政府卫生支出效率的影响因素，结果发现，经济发展水平、居民受教育程度、财政分权程度对政府卫生支出效率产生正向影响，而人口密度、城乡收入差距对政府卫生支出效率产生负向影响。

Under the-framework of window DEA, this paper uses the Bootstrap method measure the health expenditure efficiency of 267 prefecture-level cities in China. The results show that, the efficiency of health expenditure is low, and there is a big room for improvement. Regional studies have shown that government health expenditure efficiency presents significant regional differences, and there is no regional convergence phenomenon. In terms of determining factors, the level of economic development, the education level of the residents and the degree of fiscal decentralization are positively related to the government health expenditure efficiency, while the population density and income gap between urban and rural areas are negatively correlated with the health expenditure efficiency.