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目的:研究转移支付对医疗卫生服务均等化影响的门槛效应。方法:基于2000—2014年我国23个省的面板数据,测算医疗卫生服务均等化指数并作为被解释变量,以转移支付、人均GDP和医疗卫生投入等变量作为解释变量,分别以时间和转移支付值为门槛值进行面板门槛回归。结果:转移支付显著促进了医疗卫生服务资源的均等分布,但以330亿元为门槛,超过此门槛后弹性会下降,同时2003年新型农村合作医疗后,转移支付对医疗资源均等分布的弹性也在减少。结论:进一步增加转移支付力度,扩大新型农村合作医疗范围,优化医疗卫生服务资源的均等化分布。
Objective: To study the threshold effect of transfer payment on the equalization of health care services. Methods: Based on the panel data of 23 provinces in our country from 2000 to 2014, the equalization index of medical and health services was calculated and used as explanatory variables. Variables such as transfer payment, GDP per capita and medical and health investment were taken as explanatory variables. Time and transfer payments Value threshold for panel threshold return. Results: The transfer payment significantly promoted the equal distribution of medical and health service resources, but with a threshold of 33 billion yuan, the elasticity will drop after this threshold is exceeded. And after the new rural cooperative medical system in 2003, the elasticity of transfer payment to the equal distribution of medical resources In decreasing. Conclusion: To further increase the transfer payment, expand the scope of new rural cooperative medical care and optimize the equal distribution of medical and health service resources.