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时间:2019-05-21
《京津冀协同背景下公共医疗卫生支出绩效差异实证》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、中央财经大学学报2015年第4期·财政税收·京津冀协同背景下公共医疗卫生支出绩效差异实证分析AnEmpiricalAnalysisofthePerformanceDifferencesinPublicHealthSpendingundertheCoordinatedDevelopmentofBeijing-Tianjin-Hebei王丽王晓洁WANGLiWANGXiao-jie[摘要]随着京津冀一体化的不断推进,缩小京津冀间的经济社会差距既成为公共服务均等化的公民诉求,也成为增强京津冀城市群整体竞争力
2、、实现京津冀长效协同发展的迫切态势需求。而公共医疗卫生作为典型的民生公共服务,政府具有显性化的责任,为了探究京津冀间公共医疗卫生支出效率的差异诱因,以助推京津冀城市群医疗卫生的协同发展,笔者运用数据包络分析方法以及Malmquist生产率指数,评价分析了京津冀城市圈中13个城市的公共医疗卫生投入与产出的效率水平及变动情况,并将京、津、冀三个地区进行了横向差异比较。实证结果表明,河北与北京、天津相比,确实存在支出效率较低的差距,但差距正在逐渐缩小;北京与天津已经处于规模报酬递减阶段,但河北大部分城市仍处
3、于规模报酬递增阶段。根据实证分析结果,笔者提出京津冀应均衡区域发展、控制医疗支出规模增长、统一医疗卫生政策等建议,以进一步提高医疗卫生支出绩效。[关键词]京津冀医疗卫生支出效率差异DEAMalmquist指数[中图分类号]F812.45[文献标识码]A[文章编号]1000-1549(2015)04-0003-08Abstract:WiththecontinuousadvanceofBeijing-Tianjin-Hebeiintegration,narrowingthegapbetweentheeco
4、nomyandsocietyofBeijing-Tianjin-Hebeihasbeentheneedsofequalizationofpublicservicesforciti-zens,andtheurgentneedsoftheBeijing-Tianjin-Hebeicitygrouptostrengthentheoverallcompetitivenessandachievelong-termcooperativedevelopment.Sincepublichealthisatypical
5、publicserviceforthepeople'slivelihood,governmenthasexplicitresponsibilityforit.InordertopromotethecollaborativedevelopmentofBeijing-Tianjin-Hebeicitygroup,thepaperexploredthedifferencesandtheboostingincentivesofthepublichealthexpenditureefficiencyinBeij
6、ing,TianjinandHebei.ThispaperusedDEAmethodsandMalmquistin-dex,evaluatedandanalysedtheefficiencylevelsandchangesofpublichealthexpenditurefor13citiesofBei-jing-Tianjin-Hebei,andmadethehorizontaldifferencecomparison.TheempiricalresultsshowthatHebeihasalowe
7、rspendingefficiencygapcomparingwithBeijingandTianjin,butthegapisgraduallynarrowing.Bei-jingandTianjinarealreadyinthestageofdecreasingreturnstoscale,butmostcitiesinHebeiarestillinthestageofincreasingreturnstoscale.Accordingtotheempiricalresults,weshouldb
8、alanceregionaldevelop-mentofBeijing-Tianjin-Hebei,controlthehealthexpenditurescalegrowth,unifyhealthpolicyandsoon,tofurtherimprovetheefficiencyofhealthexpenditure.Keywords:Beijing-Tianjin-HebeiTheefficiencyofpublichealthexpenditu
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