摘要
目的:探究我国各省份区域创新对医疗保障的影响及空间效应,为推进“健康中国”与区域协调发展战略协同提供科学依据。方法:基于2007—2023年我国31个省份的面板数据,结合医疗保险基金支出状况,运用莫兰指数检验、双向固定效应模型、空间杜宾模型以及空间中介模型等方法,全面分析我国区域创新对医疗保障的直接影响、空间溢出效应和中介路径。结果:观测期内,我国各省份医疗保障水平总体呈波动上升趋势且有明显的区域差异,其中,东部地区医疗保障水平明显高于中西部地区;区域创新对医疗保障水平具有明显正向直接效应和空间溢出效应;区域创新可通过促进医疗财政支出增长和医疗专利转化,进而提升医疗保障水平。结论:建议深化区域创新与医疗保障的协同机制,优化医疗财政资源配置,推动技术创新成果转化,缩小区域之间的发展差距。
Objective:To investigate the impact of regional innovation on medical seeurity and its spatial effeets across 31 provinces in China,providing scientifie evidence for synergizing the“Healthy China”strategy with regional coordinated development.Methods:Based on provincial panel data from 2007 to 2023,the medical insurance fund expenditure was employed as a proxy for medical security.Methodologies inelude Moran's I tests,dual-way fixed effects models,Spatial Durbin Models(SDM)with adjacency and inverse-distance matrices,and spatial mediation models were applied to comprehensively analyze the direet ffects,spatial spillover efects,and mediating pathways of regional innovation on medical seeurity.Results:During the observation period,medical security levels in all provinces showed a fluctuating upward trend with significant regional disparities,where castern provinces outperformed central and westerm regions.Regional innovation exhibited significant positive direct ffcts and spatial spillover efects on medical security.Regional innovation can improve medical insurance cowernage by promoting growth in medical financial expenditure and the conversion of medical patents.Conclusion:Policy recommendations include deepening the synergy between regional innovation and medical security,optimizing the allocation of medical fiscal resourees,acelerating the transformation of technological inovations,and narrowing regional development gaps.
作者
刘星月
郝晓宁
谢雨薇
薛镇
边琪
国姝杰
赵巍
Liu Xingyue;Hao Xiaoning;Xie Yuwei(School of Management,China University of Mining&Technology Beiing.Beijing.100083,China.)
出处
《中国卫生经济》
北大核心
2025年第11期34-38,44,共6页
Chinese Health Economics
基金
中国矿业大学(北京)基本科研业务费-博士研究生拔尖创新人才培育基金资助项目(BBJ2024076)
潍坊市公立医院改革与高质量发展示范项目。
关键词
区域创新
医疗保障
空间效应
莫兰指数
空间杜宾模型
regional innovation
medical security
spatial ffects
Moran's I
Spatial Durbin Model
