机构:[1]School of Public Administration, South China Normal University, Guangzhou, China[2]School of Public Health, Sun Yat-sen University, Guangzhou, China.[3]Sun Yat-sen Global Health Institute, Sun Yat-sen University, Guangzhou, China[4]Sun Yat-sen Center for Migrant Health Policy, Sun Yat-sen University, Guangzhou, China[5]Department of Medical Administration, the 174th Hospital of the PLA, Chenggong Hospital of Xiamen University, Xiamen, China[6]Key Unit of Methodology in Clinical Research, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, China.广东省中医院
Background: The disparity between government health expenditures across regions is more severe in developing countries than it is in developed countries. The capitation subsidy method has been proven effective in developed countries in reducing this disparity, but it has not been tested in China, the world's largest developing country. Methods: The convergence method of neoclassical economics was adopted to test the convergence of China's regional government health expenditure. Data were obtained from Provinces, Prefectures and Counties Fiscal Statistical Yearbook (2003-2007) edited by the Chinese Ministry of Finance, and published by the Chinese Finance & Economics Publishing House. Results: The existence of sigma-convergence and long-term and short-term beta-convergence indicated the effectiveness of the capitation subsidy method in the New Rural Cooperative Medical Scheme on narrowing county government health expenditure disparities. The supply-side variables contributed the most to the county government health expenditure convergence, and factors contributing to convergence of county government health expenditures per capita were different in three regions. Conclusion: The narrowing disparity between county government health expenditures across regions supports the effectiveness of the capitation subsidy method adopted by China's New Rural Cooperative Scheme. However, subsidy policy still requires further improvement.
基金:
Sun Yat-sen University [13ykpy12]; China Postdoctoral Science FoundationChina Postdoctoral Science Foundation [2015M580712]
第一作者机构:[1]School of Public Administration, South China Normal University, Guangzhou, China
共同第一作者:
通讯作者:
通讯机构:[2]School of Public Health, Sun Yat-sen University, Guangzhou, China.[3]Sun Yat-sen Global Health Institute, Sun Yat-sen University, Guangzhou, China[4]Sun Yat-sen Center for Migrant Health Policy, Sun Yat-sen University, Guangzhou, China
推荐引用方式(GB/T 7714):
Zhang Guoying,Zhang Luwen,Wu Shaolong,et al.The convergence of Chinese county government health expenditures: capitation and contribution[J].BMC HEALTH SERVICES RESEARCH.2016,16:doi:10.1186/s12913-016-1635-8.
APA:
Zhang, Guoying,Zhang, Luwen,Wu, Shaolong,Xia, Xiaoqiong&Lu, Liming.(2016).The convergence of Chinese county government health expenditures: capitation and contribution.BMC HEALTH SERVICES RESEARCH,16,
MLA:
Zhang, Guoying,et al."The convergence of Chinese county government health expenditures: capitation and contribution".BMC HEALTH SERVICES RESEARCH 16.(2016)