健康产业、健康环境与医疗卫生——基于面板数据的熵值TOBIT模型实证分析

Health Industry, Health Environment and Healthcare—An Empirical Analysis of Entropy TOBIT Model Based on Panel Data

本文将利用2008~2021年的面板数据,研究健康产业、健康环境发展和医疗卫生体制的改革之间的互动关系。本文首先构建了医疗卫生体制的评价指标,并利用熵值法来确定医疗卫生体制指数。同时在此基础上研究健康产业、健康环境对医疗卫生的影响,并引入控制变量,研究教育水平、城镇化水平、人口密度等分别对医疗卫生的影响。研究发现:健康产业发展和医疗卫生之间存在着显著的正相关,表明健康产业发展能够在很大程度上促进医疗卫生体制的完善;而相反健康环境和医疗卫生是显著的负相关。在系列控制变量中,城镇化程度显著促进医疗卫生服务水平的提升,而人口老龄化的作用相反。以上结论对新时期提升中国医疗卫生服务水平具有重要的政策启示。建设健康中国,必须把提高人民群众的健康福祉与全面深化医疗卫生制度的改革有机地联系起来,把合理地、健全地投入作为一个出发点,推动全社会医疗卫生事业的结构优化与长期发展。

This paper will utilize panel data from 2008~2021 to study the interaction between the health industry, health environment development and the reform of the healthcare system. This paper firstly constructs the evaluation index of health care system and uses entropy value method to determine the index of health care system. Meanwhile, on this basis, it studies the influence of health industry and health environment on health care, and introduces control variables to study the influence of education level, urbanization level and population density on health care respectively. It is found that there is a significant positive correlation between the development of health industry and health care, indicating that the development of health industry can promote the improvement of health care system to a large extent;on the contrary, there is a significant negative correlation between health environment and health care. Among the series of control variables, the degree of urbanization significantly promotes the improvement of medical and health service level, while population aging has the opposite effect. The above findings have important policy implications for improving China’s healthcare services in the new era. To build a healthy China, it is necessary to organically link the improvement of the people’s health and well-being with the comprehensive deepening of the reform of the healthcare system, and to take reasonable and sound investment as a starting point to promote the structural optimization and long-term development of healthcare services for the whole society.