摘要
利用2010—2020年中国家庭追踪调查(CFPS)面板数据和宏观数据,考察财政医疗卫生支出对居民负担的影响。研究发现:(1)从“补需方”和“补供方”维度来看,两项支出对医疗总费用均有显著的促进效应,且主要体现在住院费用方面。“补需方”有利于降低自付费用进而降低患者医疗负担,而“补供方”则会加重患者的医疗负担。(2)“强基层”对各类医疗费用均呈现出不同的降负效应。(3)各分项财政医疗卫生支出分别通过提高患者就诊频次、增加医疗资源和提高疾病防控能力等渠道,进而对医疗费用产生不同影响。研究结论有助于优化财政医疗卫生支出结构,提升医疗卫生资源配置效率,为降低居民医疗负担提供政策依据。
Based on the panel data and macro data of China Family Panel Survey(CFPS)from 2010 to 2020,this paper examines the impact of financial health expenditure on residents’burden.The are following findings:(i)From the dimensions of“supplier’s subsidy”and“demander’s subsidy”,both expenditures have a significant promoting effect on total medical expenses,which are mainly reflected in hospitalization expenses.In addition,the“demander’s subsidy”is conducive to reducing the patient’s self-paid medical expense and thus reduce the patient’s medical burden,while the“supplier’s subsidy”will increase the patient’s medical burden;(ii)“strengthening the grass roots”has different negative effects on all kinds of medical expenses;(iii)Each item of financial medical and health expenditure has different effects on medical expenses by increasing the frequency of patients,increasing medical resources and improving the ability of disease prevention and control.The conclusion helps to optimize the structure of financial medical and health expenditure,improve the efficiency of the allocation of medical and health resources,and provide a policy basis for the government to reduce the medical burden of residents.
作者
樊敏杰
殷强
FAN Minjie;YIN Qiang(School of Public Finance and Taxation,Henan University of Economics and Law,Zhengzhou 450046,China)
出处
《经济经纬》
CSSCI
北大核心
2023年第6期109-120,共12页
Economic Survey
基金
河南省软科学研究项目(222400410618)
河南省哲学社会科学规划项目(2022BJJ013)
河南省高等学校青年骨干教师培养计划(2020GGJS116)。
关键词
财政医疗卫生支出
补需方
补供方
强基层
居民医疗负担
Financial Medical Expenditure
Demander’s Subsidy
Supplier’s Subsidy
Strengthening the Grass-roots
Residents’Medical Burden
