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目的:研究地区经济差异对卫生总费用结构的影响。方法:利用2000—2013年我国各省的面板数据,基于政府对东中西部地区的划分,建立东、中、西部的面板双固定效应模型,进行地区差异对比分析。结果:地区经济发展状况对卫生总费用结构影响显著,而且对于东、中、西不同地区,经济状况对卫生总费用结构的改善作用呈现出边际递减规律。结论:在经济体制转型过程中,我国地区经济差异不断加大,此时更应注重宏观经济的平衡发展,完善政府卫生财政转移支付制度与社会保障体系,并将“卫生资源配置均等化”纳入“宏观经济平衡发展”战略,优化卫生总费用结构。
Objective: To study the impact of regional economic differences on the structure of total health expenditure. Methods: Based on the panel data of every province in our country from 2000 to 2013 and based on the government’s division of the eastern, central and western regions, we established the double-fixed effect model of the eastern, central and western panels and compared regional differences. Results: The regional economic development has a significant impact on the structure of total health expenditure, and for the east, central and western regions, the improvement of economic status on the total health expenditure structure shows a marginal diminishing rule. Conclusion: In the process of economic restructuring, the economic disparity in our region has been constantly increasing. At this time, we should pay more attention to the balanced development of macroeconomics, improve the government health finance transfer payment system and social security system, and “equalize the distribution of health resources” “Include in the” Macroeconomic Balanced Development "strategy and optimize the structure of total health expenditure.