【摘要】：隨著“新醫(yī)改”政策的持續(xù)深入展開(kāi),有關(guān)我國(guó)居民與政府的醫(yī)療保健支出行為的分析對(duì)指導(dǎo)進(jìn)一步實(shí)施“新醫(yī)改”政策顯得十分重要。一方面,通過(guò)分析“新醫(yī)改”政策前后各省級(jí)政府的醫(yī)療支出行為的異同,可以從一定程度上洞悉各省級(jí)政府之間醫(yī)療保健支出行為的關(guān)系及其支出水平與民生等相關(guān)指標(biāo)的內(nèi)在聯(lián)系。通過(guò)分析政策實(shí)施前后各省級(jí)政府間醫(yī)療保健支出行為的關(guān)系的變化,從而得出相應(yīng)結(jié)論,根據(jù)這些結(jié)論可以間接地分析“新醫(yī)改”政策對(duì)省級(jí)政府間醫(yī)療支出行為的影響,而這是目前“新醫(yī)改”政策深化展開(kāi)階段所必須進(jìn)行的工作。毋庸置疑,這些結(jié)論也將在一定程度上為解決這樣一個(gè)問(wèn)題提供思路;即“新醫(yī)改”政策的繼續(xù)實(shí)施,在省級(jí)政府層面,未來(lái)改革的重點(diǎn)應(yīng)該放在哪里?從而為下一步從政府層面優(yōu)化“新醫(yī)改”政策方案并制定相應(yīng)的政策指明方向。另一方面,由于居民是“新醫(yī)改”政策的參與者,對(duì)醫(yī)療資源不同需求層次的居民的總體福利的改善是衡量“新醫(yī)改”政策是否有效、高效的一個(gè)重要的指標(biāo)。鑒于我國(guó)城市地區(qū)和農(nóng)村地區(qū)在醫(yī)療體制方面的差異一直存在,通過(guò)分別探討城鎮(zhèn)居民與農(nóng)村居民在“新醫(yī)改”背景下不同醫(yī)療支出水平的居民其醫(yī)療保健支出狀況在政策實(shí)施前后的差異就顯得十分重要,這也是科學(xué)分析我國(guó)這樣一個(gè)實(shí)際問(wèn)題的關(guān)鍵。由于不同醫(yī)療保健支出水平的居民其受到“新醫(yī)改”政策的影響可能不同,而“新醫(yī)改”政策的真正目的就是幫助那些在就醫(yī)用藥問(wèn)題上有嚴(yán)重困難的居民,那么這一部分居民在就醫(yī)用藥問(wèn)題方面的福利是否有所提升?不同醫(yī)療保健支出水平的居民的福利在“新醫(yī)改”政策實(shí)施前后是否都有所改善?這些問(wèn)題的解答對(duì)明確下階段的醫(yī)改大方向,繼續(xù)高效地深化“新醫(yī)改”政策至關(guān)重要。鑒于研究問(wèn)題的需要,我們?cè)谖闹胁捎每臻g面板模型以及面板分位數(shù)模型分別對(duì)我國(guó)省級(jí)政府醫(yī)療支出行為和居民醫(yī)療保健支出行為進(jìn)行分析。
[Abstract]:With the development of the "new medical reform" policy, it is very important to analyze the health care expenditure behavior of the residents and the government in our country to guide the further implementation of the "new health care reform" policy. On the one hand, by analyzing the similarities and differences of the medical expenditure behavior of the provincial governments before and after the "new medical reform" policy, To some extent, we can understand the relationship between the health care expenditure behavior of the provincial governments and the relationship between the expenditure level and the people's livelihood and other related indicators. Through the analysis of the changes in the relationship between the provincial governments' health care expenditure behavior before and after the implementation of the policy, the corresponding conclusions can be drawn. According to these conclusions, the influence of the "new health care reform" policy on the provincial inter-governmental health care expenditure behavior can be analyzed indirectly. And this is the current "new health care reform" policy deepening stage of work must be carried out. There is no doubt that these conclusions will also, to a certain extent, provide ideas for solving such a problem: where should the focus of future reform be on the provincial government level for the continued implementation of the "new health care reform" policy? In order to further optimize the "new health care reform" policy from the government level and formulate the corresponding policy direction. On the other hand, as residents are participants in the policy of "new medical reform", the improvement of the overall welfare of residents with different levels of demand for medical resources is an important indicator to measure whether the "new medical reform" policy is effective and efficient. In view of the persistent disparities in the medical system between the urban and rural areas of the country, It is very important to discuss the difference of health care expenditure between urban residents and rural residents before and after the implementation of the policy under the background of "new medical reform". This is also the key to the scientific analysis of such a practical problem in China. Because residents of different levels of health care expenditure may be affected differently by the "new health care reform" policy, the real purpose of the "new health care reform" policy is to help those residents who have serious difficulties in accessing medicine. So has the welfare of this part of the population increased in terms of access to medicine? Has the welfare of residents with different levels of health care expenditure improved before and after the implementation of the "new health care reform" policy? The answer to these questions is very important to make clear the direction of health care reform in the next stage and to deepen the policy of "new health care reform" efficiently. In view of the need of the research, we use the spatial panel model and the panel quantile model to analyze the behavior of the provincial government's medical expenditure and residents' health care expenditure respectively.
【學(xué)位授予單位】：華僑大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：F842.684

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