OECD国家卫生投入与健康产出:基于动态面板系统GMM模型的计量分析

Analysis on Health Resources and Health Production in OECD Countries: Quantitative Analysis of GMM Estimation Based on Dynamic Panel

目的:研究经济合作与发展组织(OECD)各成员国卫生投入与健康产出的关系,分析影响因素对健康产出的作用。方法:利用OECD国家1997 2016年的面板数据,通过从宏观层面建立动态面板数据,采用GMM估计方法进行实证研究。结果:政府卫生支出和每千人医生数对健康产出有显著的正向影响,私人卫生支出对健康产出的影响并不显著,经济发展对健康水平的直接影响不显著,教育水平对健康产出的促进作用显著大于卫生投入。结论:过度追求卫生投入的增长对健康水平的提高并不明显;经济增长不能直接作用于健康水平的提高,只有综合利用教育、卫生资源等才能显著提高健康水平。

Objective: To analyze the relationship between the health resources and health production of Organization for Economic Co-operation and Development Countries(OECD), and study the impact of the influencing factors on the health production. Methods: Generalized Method of Moments(GMM) was applied by dynamic panel data of OECD countries from 1998 to 2016 to perform empirical research. Results: Government health expenditure and the number of doctors per thousand people had significant positive impact on health production. Private health expenditure had insignificant impact on health production. The direct effect of economic development on health was not significant. The impact of education level was significantly greater on health production than health input. Conclusion: The increase of health investment was not obvious to the improvement of health production. Economic growth could not directly affect the improvement of health production, only comprehensive utilization of education and health resources could significantly improve health production.