文章摘要
卜胜娟,耿弘,朱佩枫,熊季霞.中国地区健康产出效率测度及空间效应分析[J].国土资源科技管理,2020,37(3):86-100
中国地区健康产出效率测度及空间效应分析
On the Efficiency of Health Outcomes and Its Spatial Effects in China
  
DOI:
中文关键词: 健康产出  局部前沿效率分析  空间效应
英文关键词: health outcomes  partial frontier efficiency method  spatial effects
基金项目:
作者单位
卜胜娟 南京航空航天大学经济与管理学院江苏南京211106南京中医药大学卫生经济管理学院江苏南京210023 
耿弘 南京航空航天大学经济与管理学院江苏南京211106 
朱佩枫 南京中医药大学卫生经济管理学院江苏南京210023 
熊季霞 南京中医药大学卫生经济管理学院江苏南京210023 
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中文摘要:
      选取31个省(市、区)为基本空间单元,采用2009—2017年面板数据,运用order m效率模型对地区健康产出效率进行测度,并引入空间权重矩阵对其进行空间相关性分析,构建空间计量模型对其影响因素进行了分析。研究显示,中国地区健康产出效率存在明显差异,并显示出显著空间相关性,局部散点图表明,地区健康产出效率不仅存在空间依赖性,也有空间异质性表现,存在集聚模式特征;地区健康产出效率表现出空间外溢效应,除教育水平不能发挥明显作用,服务可达水平对地区健康产出效率有正向影响,因各种原因城市化水平、政府健康投入能力和个人健康投入能力则对地区健康产出效率有相反作用。在此结论基础上,提出了基于空间视角下地区健康产出效率提升建议。
英文摘要:
      In this paper,according to the panel data of 31 provinces (cities and districts)selected as basic spatial units from 2009 to 2017,the efficiency of regional health outcomes in China was measured by using the order m efficiency method.Its spatial correlation was analyzed by using the spatial weighting matrices,and factors affecting health outcomes was also analyzed by building the spatial econometric model.The results showed that there were significant differences and obvious spatial correlations in the efficiency of regional health outcomes.Based on the scatter plot of the local Morans I index,the efficiency of regional health outcomes in China was characterized by spatial dependence and heterogeneity,featuring as the agglomeration model.At the same time,it also represented a significant spatial spillover effect.Except that the level of education couldnt exert its obvious impact,the accessible level of services had a positive effect on the efficiency of regional health outcomes.Adversely,the level of urbanizations as well as the government and individual investment on health brought a negative effect.Based on the above research results,the paper provided some improvement suggestion on the efficiency of the regional health outcomes from the spatial perspective.
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