卫生支出对传染性公共卫生突发事件防控效果的影响——基于省际面板的实证分析

The Effect of Health Expenditure on the Prevention and Control of Infectious Disease-Related Public Health Emergencies——An empirical analysis based on interprovincial panel

健康中国背景下,健全公共卫生防控体系是推进国家治理体系和治理能力现代化的重要手段。运用2009—2018年中国31个省(市、自治州)的面板数据,深入分析卫生支出规模、结构和区域差异对传染性公共卫生突发事件防控效果的影响。实证结果表明:一是卫生支出对提高传染性公共卫生突发事件防控效果具有显著的作用;二是卫生支出对有效防控传染性公共卫生突发事件存在结构差异,增加政府卫生支出和社会卫生支出的防控效果更加显著;三是卫生支出对提高传染性公共卫生突发事件防控效果存在区域差异,卫生支出在东部地区的防控效果更加显著。鉴于此,建议通过合理配置卫生资源、优化卫生支出结构、制定差异化投入政策和推进公共卫生信息化建设切实提升传染性公共卫生突发事件的防控效果。

Under the background of healthy China,improving the public health prevention and control system is an important means to promote the modernization of national governance system and governance capacity.Using the panel data of 31 provinces(cities and autonomous prefectures)in China from 2009 to 2018,an in-depth analysis has been conducted of the influence of health expenditure scale,structure and regional differences on the prevention and control effect of infectious disease-related public health emergencies.As the empirical results show,firstly,health expenditure has a significant effect on the prevention and control of infectious disease-related public health emergencies,secondly,there are structural differences in health expenditure to effectively prevent and control infectious disease-related public health emergencies,and the effect of increasing government health expenditure and social health expenditure is more significant,and thirdly,there are regional differences in the effect of health expenditure on improving the prevention and control of infectious disease-related public health emergencies,and the effect of health expenditure on prevention and control in the eastern region is more significant.In view of this,this paper suggests that the prevention and control effect of infectious disease-related public health emergencies should be effectively improved by rationally allocating health resources,optimizing the health expenditure structure,formulating differentiated investment policies,and promoting the construction of public health informatization.