Researching China's innovative economic and financial innovation issues under the background of the New Normal, we need to carefully analyze the internal structure and interaction of China's macroeconomics.The...Researching China's innovative economic and financial innovation issues under the background of the New Normal, we need to carefully analyze the internal structure and interaction of China's macroeconomics.The computable general equilibrium(CGE) model has outstanding advantages on predicting the external shock influences on economic system, but previous studies on forecast for China's future economy mostly considered a high growth rate which is hard to comply with the New Normal scene. By constructing China's macroeconomic dynamic CGE(DCGE) model and anticipating the economic impact of the New Normal, this paper finds that the New Normal has a certain extent inhibition on China's macro-economy and innovation. However, after adding the research and development(R&D) subsidy policy, the negative impacts of the New Normal on macro-economy can be eliminated to realize the optimization of economic structure. In addition, after combining the financial innovation promoting policy and the Ke Qiang index through the simulation of macro-economy, we find that the quality of economic growth is improved. Finally, we provide the policy recommendations for the realization of an innovative economy under China's New Normal.展开更多
文摘目的基于上海市近年结核病诊疗费用减免政策,探索耐多药结核病(multidrug resistant tuberculosis,MDR-TB)患者疾病经济负担及其影响因素,为优化MDR-TB诊疗费用减免政策和综合管理模式提供依据。方法收集上海市2017—2019年确诊MDR-TB患者情况和诊疗费用减免情况数据,开展针对疾病经济负担的问卷调查,建立涵盖患者人口和社会经济情况、临床特征、疾病经济负担和诊疗费用减免情况数据库,明确患者疾病经济负担和灾难性卫生支出(catastrophic health expenditure)发生情况。以多元线性回归法分析可能影响患者疾病经济负担的因素,以多因素logistic回归法分析不同比例下灾难性卫生支出发生的影响因素。结果196例纳入研究分析的MDR-TB患者平均年龄为(44±16)岁,男性139例(占70.9%),上海户籍占46.4%,49%的患者为家庭主要劳动力。治疗期间,患者自付诊疗费用中位数为4.0(四分位数区间2.0~6.5)万元。113例患者获得减免诊疗,减免费用中位数为2.6(四分位数区间1.3~4.9)万元。若自付费用占家庭年收入的40%及以上,有47.8%的患者会发生灾难性支出;若不考虑减免政策,有59.8%的患者发生灾难性卫生支出。上海户籍(OR=0.3,95%CI为0.1~1.0)、更低家庭收入水平(P_(trend)=0.002)、医疗保险类型[(农村合作医疗保险/外来人口综合保险(OR=13.3,95%CI为1.0~171.2),无医疗保险(OR=17.5,95%CI为2.7~113.0)]和既往结核病治疗史(OR=3.3,95%CI为1.1~10.0)可能影响灾难性卫生支出的发生。结论上海市MDR-TB患者的自付诊疗费用较高。医疗保障力度较小和家庭经济情况不佳的患者更易发生高额自付费用,导致灾难性卫生支出。上海市MDR-TB诊疗费用减免政策有效降低了患者的经济负担。
基金the National Natural Science Foundation of China(Nos.71373153,71262022 and 71003068)the Shanghai Philosophy and Social Science Fund Project(No.2014BJB001)the“Shuguang Program”Supported by Shanghai Education Development Foundation and Shanghai Municipal Education Commission(No.14SG32)
文摘Researching China's innovative economic and financial innovation issues under the background of the New Normal, we need to carefully analyze the internal structure and interaction of China's macroeconomics.The computable general equilibrium(CGE) model has outstanding advantages on predicting the external shock influences on economic system, but previous studies on forecast for China's future economy mostly considered a high growth rate which is hard to comply with the New Normal scene. By constructing China's macroeconomic dynamic CGE(DCGE) model and anticipating the economic impact of the New Normal, this paper finds that the New Normal has a certain extent inhibition on China's macro-economy and innovation. However, after adding the research and development(R&D) subsidy policy, the negative impacts of the New Normal on macro-economy can be eliminated to realize the optimization of economic structure. In addition, after combining the financial innovation promoting policy and the Ke Qiang index through the simulation of macro-economy, we find that the quality of economic growth is improved. Finally, we provide the policy recommendations for the realization of an innovative economy under China's New Normal.
