首页|人口老龄化趋势下卫生资源配置结构性失衡与社会福利损失

人口老龄化趋势下卫生资源配置结构性失衡与社会福利损失

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一国医疗资源的配置结构直接影响这些资源向医疗卫生服务转化的效率,我国卫生资源配置结构性失衡问题不仅影响着公众健康,同时也制约着公众社会福利。不仅如此,我国人口老龄化程度的加深导致医疗卫生服务需求井喷式增长,与卫生资源配置结构性失衡下的碎片式服务供给体系形成巨大反差,导致供求矛盾日益突出,将引发更大的经济社会代价。在此背景下,本文结合理论分析、数值模拟和实证检验,剖析卫生资源配置结构性失衡影响社会福利的内在机理以及人口老龄化对两者关系的调节作用。结果表明:存在最优化的卫生资源配置结构,在该结构下公众社会福利实现最大化;与这种最优化资源配置结构相比,卫生资源配置结构性失衡会引发社会福利损失。与此同时,人口老龄化加剧卫生资源配置结构性失衡带来的社会福利损失。异质性分析表明,建设信息基础设施和提高医疗卫生机构密度能够减少卫生资源配置结构性失衡带来的社会福利损失,但城乡收入差距的扩大会增加其福利损失。本文研究结论对于缓解卫生资源配置结构性失衡问题、推进健康中国建设具有重要的启示意义。
Structural Imbalance of Health Resource Allocation and Social Wel-fare Loss under the Trend of Population Aging
The allocation structure of medical resources directly affects the efficiency of the transformation of resources to medical and health service.The structural imbalance of health resources allocation in China not only affects the public health,but also restricts the public social welfare.In addition,the intensification of the population aging in China leads to the explosive growth of the demand for medical and health services,which forms a huge contrast with the fragmented service supply system under the structural imbalance of health resource allocation,resulting in an increasingly prominent contradiction between supply and demand,which will lead to greater economic and social costs.In this context,combining theoretical analysis,numeri-cal simulation and empirical test,this paper analyzes the internal mechanism of structural imbalance of health resource allocation affecting social welfare and the moderating effect of population aging on the relationship between the two.The results show that there is an optimal health resource allocation structure,under which the public social welfare can be maximized.In contrast with the optimal resource allocation structure,the structural imbalance of health resource allocation will cause the loss of social welfare.Meanwhile,population aging aggravates the social welfare loss caused by the structural imbalance in the allocation of health resources.Heterogeneity analysis shows that the construction of information infrastructure and the improve-ment of the density of medical and health institutions can reduce the social welfare loss caused by the struc-tural imbalance of health resource allocation,but the widening of urban-rural income gap will increase the welfare loss.The conclusions of this study have important implications for alleviating the structural imbalance of health resource allocation and promoting the construction of healthy China.

population agingstructural imbalance in the allocation of health resourcesthe social welfare

庞瑞芝、刘磊、李倩楠

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南开大学企业研究中心(天津 300071)

南开大学经济学院

人口老龄化 卫生资源配置结构性失衡 社会福利

国家社会科学基金重点项目

21AJY012

2024

中国地质大学学报(社会科学版)
中国地质大学

中国地质大学学报(社会科学版)

CSTPCDCSSCICHSSCD北大核心
影响因子:1.69
ISSN:1671-0169
年,卷(期):2024.24(4)