中国居民健康生产效率的动态演进及其影响因素

Dynamics of Health Productivity of Chinese Residents and Its Determinants

文章综合运用DEA-Malmquist模型、可分解的泰尔指数和空间(传统)计量模型研究2002~2017年中国居民健康生产效率的动态演进及其影响因素。研究结果表明,2002~2017年中国居民健康生产综合效率、纯技术效率和规模效率均值分别为0.696、0.849和0.807,全要素生产率年均下降0.5%;八大综合经济区居民健康生产效率表现出空间非均衡性,区域间差异是造成居民健康生产综合效率差距的主要原因,全要素生产率变动差异由区域内差异主导;人口密度和居民受教育程度提升对居民健康生产综合效率有正向影响,医疗保险参保比例对居民健康生产效率有负向影响;城市化率对居民健康生产率变动有正向作用,医疗保险参保人员比例对居民健康生产率变动有负向影响。

Using DEA-Malmquist model,decomposable Theil index and spatial(traditional)econometric model,the paper examines the dynamics of Chinese residents’health productivity and its influencing factors from 2002 to 2017.The results show that the average values of overall,technical and scale productivity of health are 0.696,0.849 and 0.807 between 2002 and 2017,and the total factor productivity(TFP)decreased by 0.5%annually.The health productivity of residents differs in the eight economic zones.The inter-region differences are the main reasons of the gap in the overall health productivity,and the intra-region variation dominates the change of TFP.Population density and education level of residents both have significant positive effects on the overall health productivity,and the medical insurance participation rate has a significant negative effect on the health productivity.Urbanization rate has a positive effect on the change of residents’health productivity,and medical insurance participation rate has a negative effect on the change of residents’health productivity.