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目的:通过与居民健康相关的省际面板数据,分析中国不同地区的健康不平等状况和区域健康的收敛性。方法:运用面板GLS法测度了区域健康状况的Beta收敛模型,并计算泰尔指数来度量健康不平等的现状。结果:无条件Beta收敛不成立,由最初的健康状况差异引起的健康不平等状况不会随着时间改善;条件Beta成立,收入、环境质量等外部因素会使区域健康状况的路径呈收敛趋势。泰尔指数的计算结果显示,东部地区区域内健康不平等状况经历了先扩大后缩小的过程,中西部区域内则呈现稳中有降的态势,区域间的不平等状况近年来呈扩大趋势。结论:深化医疗体制改革,控制医疗卫生服务价格水平,并扩大医疗保障覆盖范围,提高医疗费用报销比例。
Objectives: To analyze the health inequality in different regions of China and the convergence of regional health through inter-provincial panel data related to residents’ health. Methods: The panel GLS method was used to measure the Beta convergence model of regional health status, and the Theil index was calculated to measure the status of health inequality. Results: Unconditional Beta Convergence did not hold. The health inequality caused by the difference in initial health status would not improve with time. The establishment of conditional Beta, income, environmental quality and other external factors will make the path of regional health status converge. The result of the Theil index shows that the health inequality in the eastern region has experienced a process of first expanding and then decreasing, while the middle and western regions have shown a steady downward trend. The regional inequality has been expanding in recent years. Conclusion: Deepening the reform of the medical system, controlling the price level of medical and health care services, expanding the coverage of medical insurance and increasing the proportion of medical expenses reimbursement.