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• 民族地区乡村振兴研究 • 上一篇    下一篇

云南省公立医疗机构医疗资源配置的城乡差距

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  1. 1.云南财经大学财政与公共管理学院,昆明650221;2.山东财经大学财政税务学院,济南250014
  • 收稿日期:2017-11-14 修回日期:2018-01-08 出版日期:2018-05-15 发布日期:2018-05-15
  • 作者简介:和立道,副教授,博士,主要从事政府间财政关系、公共政策管理研究.
  • 基金资助:

    国家自然科学基金项目“主体功能区规划下多民族地区城乡基本公共服务均等化问题研究”(71263053);国家自然科学基金项目“城镇化过程中群体性事件化解的一个新视角:正确处理政府和市场在资源配置中的关系”(71663055);云南省哲学社会科学研究基地课题“精准扶贫战略下云南省贫困地区扶贫开发政策的反馈机制研究”(JD2017YB17)

The Urban-Rural Gap in Medical Resource Allocation of Public Medical Institutions in Yunnan Province

  • Received:2017-11-14 Revised:2018-01-08 Online:2018-05-15 Published:2018-05-15

摘要: 近年来,政府为实现“公共服务均等化”目标做出了巨大努力,公共服务在区域间、城乡间的差距得到了明显改善,但在民生领域的公共服务,因为历史、区位、财力等因素影响,依然存在较大差距,特别是边疆地区城乡之间的差距尤为明显。利用云南省医疗卫生财政支出和产出数据,全面衡量云南省公立医疗机构医疗卫生资源配置城乡差距的同时,对两者进行协整分析,发现两者之间存在长期的稳定关系。并在此基础上,对影响云南省公立医疗机构资源配置城乡差距的财政支出、城镇化、居民收入水平等影响因素进行实证分析,得出财政均等化支出、城镇化水平提高、农村居民收入水平的提高有助于缩小云南省公立医疗机构资源配置的城乡差距的结论。

关键词: 公立医疗机构, 资源配置, 医疗卫生公共服务均等化, 云南省

Abstract: In recent years, the government has been making great efforts to achieve the goal of equalization of public services. The gap between public services in the inter-regional and urban and rural areas has been significantly improved, but public services in the people's livelihood area have been affected by factors such as history, location, and financial resources. There is still a large gap,especially in the border areas between rural and urban areas. Using the financial expenditures and output data of health care in Yunnan province to comprehensively measure the gap between urban and rural health care resources allocated by public medical institutions
across the province, a co-integration analysis was conducted on both of them to find that there was a long-term stable relationship between the two. On the basis of this, an empirical analysis was made of the financial expenditures, urbanization, and residents' income levels that affected the distribution of resources for public medical institutions across the province, and the financial equalization expenditure, level of urbanization, and income level of rural residents were obtained. The improvement will help narrow the urbanrural gap in the allocation of resources for public medical institutions in Yunnan Province.  

Key words: public medical institutions, medical resource allocation, equalization of medical and health public services, Yunnan Province