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目的:研究我国卫生资源配置失衡对居民健康的影响。方法:利用泰尔指数从人力、物力、财力、城乡和区域5个方面构建卫生资源配置失衡指标,采用基于VAR模型的脉冲响应函数和方差分解方法进行实证分析。结果:卫生资源配置失衡对居民健康具有显著的不利影响,城乡卫生财力资源配置失衡对居民健康的影响程度最大,区域卫生财力资源配置失衡对居民健康的影响要大于物力和人力。结论:政府要加大农村地区的卫生财政支出,优化医疗卫生资源配置。
Objective: To study the health effects of unbalanced distribution of health resources in China. Methods: Using the Theil index to construct the imbalance index of health resource allocation from five aspects of manpower, material and financial resources, urban and rural areas and regions. The impulse response function and variance decomposition method based on VAR model were used to carry out empirical analysis. Results: Imbalanced allocation of health resources had a significant negative impact on residents’ health. The unbalanced allocation of urban and rural health and financial resources had the greatest impact on residents’ health. The unbalanced allocation of regional health and financial resources had a greater impact on residents’ health than physical and human resources. Conclusion: The government should increase expenditure on health and finance in rural areas and optimize the allocation of medical and health resources.