| 引用本文：张睿, 别荣海.新医改背景下河南省财政医疗卫生支出演进及区域差异的实证研究[J].中国卫生政策研究,2022,15(2):40-45 |
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| 新医改背景下河南省财政医疗卫生支出演进及区域差异的实证研究 |
| 投稿时间：2021-11-02 修订日期：2022-02-15 PDF全文浏览 HTML全文浏览 |
| 张睿1, 别荣海2 |
1. 新乡医学院健康与社会研究中心 河南新乡 453003;
2. 河南中医药大学管理学院 河南郑州 450046 |
| 摘要:目的：研究河南省各省辖市2008—2019年财政医疗卫生支出的动态演进、区域分布差异，为地方政府医疗卫生财政决策提供参考。方法：采用变异系数、基尼系数、泰尔指数对河南省18个市年财政医疗卫生支出的区域分布差异进行评价。结果：新医改以来，河南省各市年财政医疗卫生支出整体快速提升，区域差异不断缩小，配置均衡性得到持续改善；省内经济发展相对落后的黄淮经济区对本区域的医疗卫生财政给予了比经济发展水平较好的地市更大力度支持；造成18个市间年财政医疗卫生支出差异的主要影响因素是不同经济区域内部的差异，特别是中原城市群的内部差异。结论和建议：(1)科学制定省域内部财政医疗卫生支出预算；(2)加强区域财政医疗卫生支出工作的监督与考核；(3)充分发挥省级政府在财政医疗卫生支出中的统筹及保障作用。 |
| 关键词:财政医疗卫生支出 资源配置 地方政府 |
| 基金项目:河南省高等教育教学改革研究与实践项目(2019SJGLX092) |
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| The empirical research on dynamic evolution and regional difference of local government financial health expenditure in Henan Province under the new healthcare system reform |
| ZHANG Rui1, BIE Rong-hai2 |
1. Centre for Health and Social Research, Xinxiang Medical University, Xinxiang Henan 453003, China;
2. School of Management, Henan University of Chinese Medicine, Zhengzhou Henan 450046, China |
| Abstract:Objective: To analyze the dynamic evolution and regional allocation difference of annual financial health expenditure from 2008 to 2019 among the provincial cities in Henan Province, so as to provide a reference for the local government's health finance decision-making. Methods: Variation coefficient, Gini coefficient and Theil index were used to evaluate and describe the equilibrium condition of annual health financial allocation between 18 cities in Henan Province. Results: The results showed that the equilibrium of regional allocation in health has also been continuously improved with the rapid improvement of annual financial health expenditure in 18 cities since the new healthcare system reform. The Huang-Huai Economic Zone, with relatively backward economic development in the province, provides greater support than the cities with better level of economic development. The main influencing factor of the unbalanced annual health financial allocation among 18 cities is the unbalanced allocation between cities within different economic regions, especially the internal differences within central plains urban agglomeration. Conclusions and suggestions: (1) formulate a scientific budget for government health expenditures, (2) strengthen the supervision and assessment of regional financial health expenditure, (3) give full play to the overall and guarantee role of provincial governments in financial health expenditure. |
| Key words:Financial health expenditure Resource allocation Local governments |
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