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扩大政府卫生支出规模已经成为新一轮医疗卫生改革顺利实施的基础。运用中国31个省市2002年～2010年的面板数据建立政府卫生支出影响因素模型,在考虑被解释变量滞后项和部分解释变量内生性的基础上,运用GMM估计方法分析影响中国政府卫生支出规模的主要因素,结果表明:滞后一期和二期政府卫生支出、人均实际GDP、财政分权、环境污染、城镇化率和住院分娩率对政府卫生支出有显著影响。上述实证结果为新一轮医疗卫生改革的推进提供了重要的政策参考信息:扩大政府卫生支出规模要与经济发展相协调;应考虑改进和完善现行财政分权体制;应加强对地方政府医疗卫生服务方面的考核。
Expanding the scale of government health expenditure has become the basis for the smooth implementation of the new round of health care reform. Based on the panel data of 31 provinces in China from 2002 to 2010, the influencing factor model of government expenditure on health was established. Based on the lagged items of explanatory variables and some explanatory variables’ endogenous variables, GMM estimation method was used to analyze the impact of government expenditure on health expenditure The results show that the government expenditure on health in the first and second lags, the actual per capita GDP, fiscal decentralization, environmental pollution, urbanization rate and hospital delivery rate have significant effects on government health expenditure. The above empirical results provide important policy reference information for advancing the new round of health care reform: expanding the scale of government health expenditure should coordinate with the economic development; we should consider improving and perfecting the current fiscal decentralization system; Service evaluation.