互联网普及、交通便利化与医疗卫生服务效率——基于系统GMM与动态面板门槛模型的检验

Internet Popularization,Transportation Facilitation and Efficiency of Eedical and Health Services——Test Based on System GMM and Dynamic Panel Threshold Model

基于2010-2019年省际面板数据,对“新医改”后中国医疗卫生效率进行测度,分析互联网普及与交通便利化对医疗卫生效率的影响。研究发现:中国医疗卫生效率呈现“东部最高,中、西部次之,东北最低”的分布特征,中国医疗卫生服务效率均在逐渐提升,总体区域差异逐渐降低。互联网普及与交通便利化对于医疗卫生效率的影响存在区域异质性,互联网普及对东中西部医疗卫生效率的促进作用显著,对东北地区促进作用不显著,交通便利化对东部和中部的促进作用显著,而对西部和东北地区作用不显著。互联网普及度对医疗卫生效率存在单一门槛,而交通便利化对医疗卫生效率存在双重门槛。

Based on the inter-provincial panel data from 2010 to 2019,this paper measures China's medical and health efficiency after the"new medical reform",and analyzes the influence of Internet popularization and transportation facilitation on the medical and health efficiency.The results show that the medical and health efficiency in China presents the distribution characteristics of"the highest in the east,followed by the middle and west,and the lowest in the northeast".The medical and health service efficiency in China is gradually improving,while the overall regional differences are gradually decreasing.The influence of Internet popularization and transportation facilitation on medical and health efficiency is regional heterogeneity.Internet popularization has a significant promoting effect on medical and health efficiency in eastern,central and western regions,but not in Northeast China;transportation facilitation has a significant promoting effect on eastern and central regions,but not in western and northeast China.Internet penetration has a single threshold for medical and health efficiency,while transportation facilitation has a double threshold for medical and health efficiency.