健康人力資本投資對人口老齡化的影響研究
發(fā)布時間:2018-07-11 21:25
本文選題:健康人力資本投資 + 人口老齡化。 參考:《陜西師范大學》2011年碩士論文
【摘要】:改革開放以來,我國醫(yī)療衛(wèi)生等健康人力資本投資的增長速度很快,2009年的《中國衛(wèi)生發(fā)展綠皮書——中國衛(wèi)生費用核算研究報告》顯示,1978年-2007年,中國衛(wèi)生總費用從110.21億元增長到了11289.48億元,人均衛(wèi)生總費用由11.45元增長到854.43元,按照當年價格計算,2007年我國人均衛(wèi)生總費用是1978年的74.6倍。在健康人力資本投資不斷增加的同時,我國也于1999年邁入了老齡化社會。2000年11月底第五次人口普查結果顯示,我國65歲以上老年人口已達8811萬人,占總人口6.96%,60歲以上人口達1.3億人,占總人口10.2%,以上比例按國際標準衡量,我國均已進入了老齡化社會。此外,我國人口老齡化的速度也非?,根據(jù)民政部發(fā)布的2009年民政事業(yè)發(fā)展統(tǒng)計報告,截至2009年底,全國65歲及以上老年人口11309萬人,占全國總人口的8.5%。60歲及以上老年人口16714萬人,占全國總人口的12.5%,從2000年到2009年,我國65歲以上老年人口增加了將近3000萬人,我國進入了人口老齡化加速發(fā)展階段。 鑒于我國醫(yī)療衛(wèi)生等健康人力資本投資的快速增長以及人口老齡化速度的加快,文章基于人口均衡發(fā)展的視角,研究我國健康人力資本投資對人口老齡化的影響。首先,從人口均衡發(fā)展的視角,分析我國健康人力資本投資對老年人口數(shù)量、健康狀況以及年齡、性別、城鄉(xiāng)、區(qū)域結構的影響;其次,實證檢驗我國健康人力資本投資對人口老齡化的影響,具體包括我國人均衛(wèi)生費用、衛(wèi)生機構床位數(shù)和衛(wèi)生人員數(shù)與我國65歲以上老年人口比重的相關分析和我國人均衛(wèi)生費用與65歲以上老年人口比重的格蘭杰因果檢驗;人均衛(wèi)生費用與我國65歲以上老年人口死亡率的格蘭杰因果檢驗;人均衛(wèi)生費用與我國65歲以上老年人口性別比的格蘭杰因果檢驗;人均衛(wèi)生費用與城市、農(nóng)村65歲以上老年人口死亡率的相關分析;我國東部、中部、西部區(qū)域老年人口比重和人口健康系數(shù)的相關分析。最后,對實證得出的結果進行分析,并根據(jù)文章理論分析與實證檢驗得出的結果提出政策建議。 文章的研究結果為:我國人均衛(wèi)生費用、醫(yī)療機構床位數(shù)、衛(wèi)生人員數(shù)等健康人力資本投資與65歲以上老年人口比重呈正相關關系,我國健康人力資本投資的增加促進了老年人口數(shù)量的增加,引起了老年人口規(guī)模老齡化;人均衛(wèi)生費用等健康人力資本投資與80歲以上老年人口比重呈正相關關系,健康人力資本投資提高了我國老年人口的預期壽命,改變了我國老年人口的年齡結構,引起了我國老年人口的高齡老齡化;人均衛(wèi)生費用等健康人力資本投資與65歲以上老年人口性別比呈負相關關系,65歲以上男女老年人口的性別比不斷下降,高齡老年人口中女性老年人口的比重不斷上升,健康人力資本投資改變了老年人口的性別結構,引起了我國老年人口的女性高齡化;人均衛(wèi)生費用等健康人力資本投資與城鄉(xiāng)65歲以上老年人口比重呈正相關關系,但人均衛(wèi)生費用與農(nóng)村65歲以上老年人口相關系數(shù)的絕對值高于人均衛(wèi)生費用與城市65歲以上老年人口的相關系數(shù)的絕對值,農(nóng)村65歲以上老年人口的死亡率遠遠高于城市65歲以上老年人口的死亡率,我國健康人力資本投資的城鄉(xiāng)不平衡引起了我國農(nóng)村老年人口的健康貧困:我國西部地區(qū)65歲以上老年人口比重不斷上升,東部地區(qū)65歲以上老年人口比重不斷下降,而東部地區(qū)的健康人力資本投資水平遠遠高于西部地區(qū),我國人口區(qū)域健康系數(shù)差異很大,我國區(qū)域老年人口存在健康不平衡現(xiàn)象。
[Abstract]:Since the reform and opening up, China's health and health human capital investment has been growing rapidly. In 2009, the Chinese health development green book - China health cost accounting study report showed that in -2007 in 1978, China's total health cost increased from 11 billion 21 million yuan to 1 trillion and 128 billion 948 million yuan, and the total health cost per capita increased from 11.45 yuan to 854.4. 3 yuan, according to the price of the year, the total health cost per capita of China in 2007 is 74.6 times that of 1978. While the investment of healthy human capital is increasing, our country also entered the aging society in 1999 and the fifth census results of the fifth times in November. The population of our country over 65 years old has reached 88 million 110 thousand, accounting for 6.96% of the total population and 60 years old. The population is 130 million, accounting for 10.2% of the total population, and the above proportion is measured by international standards. Our country has entered an aging society. In addition, the rate of population aging is very fast. According to the statistics report on Civil Affairs Development issued by the Ministry of civil affairs in 2009, as of the end of 2009, 113 million 90 thousand people of the whole country were 65 and above, accounting for the total number of people in the country. The population of 8.5%.60 years old and above is 167 million 140 thousand, accounting for 12.5% of the total population of the country. From 2000 to 2009, the population of our country aged 65 and over has increased by nearly 30 million people, and China has entered the accelerated development stage of population aging.
In view of the rapid growth of health human capital investment and the speed of population aging in China, based on the perspective of population balanced development, this paper studies the effect of health human capital investment on population aging in China. First, from the perspective of population balanced development, the number of healthy human capital investment to the elderly population is analyzed. Quantity, health status and the influence of age, sex, urban and rural, regional structure; secondly, the empirical test of the impact of health human capital investment on population aging in China, including the per capita health cost in China, the correlation analysis of health agency bed and number of health personnel and the proportion of the elderly population over 65 years old in our country, and the per capita health fee in China. The Grainger causality test with the proportion of the aged over 65 years old; the per capita health cost and the Grainger causality test for the mortality of the elderly over 65 years old in China; the Grainger causality test of the per capita health cost and the sex ratio of the elderly over 65 years old in our country; the per capita health cost and the city, the death of the elderly over the age of 65 years old in the rural areas The correlation analysis of the rate and the correlation analysis of the proportion of the elderly population and the population health factor in the eastern, central and western regions of China. Finally, the results are analyzed, and the policy suggestions are put forward according to the results obtained from the theoretical analysis and the empirical test.
The result of the study is that there is a positive correlation between health human capital investment per capita, medical institutions bed number and number of health personnel and the proportion of elderly people over 65 years old. The increase of health human capital investment in China has promoted the increase of the number of elderly population, led to the aging of the elderly population, and the per capita health fee. There is a positive correlation between the investment of healthy human capital and the proportion of the elderly over 80 years of age. The health human capital investment has improved the life expectancy of the elderly in our country, changed the age structure of the elderly population in our country, caused the aging of the elderly population in our country, and the investment of healthy human capital, such as the per capita health cost and so on, and over 65 years of age. There is a negative correlation between the sex ratio of the elderly population, the gender ratio of the elderly people over 65 years and older is declining, the proportion of the elderly population in the elderly is increasing. The investment of healthy human capital has changed the gender structure of the elderly population, which has caused the aging of the elderly population in our country, and the health manpower per capita and so on. There is a positive correlation between the capital investment and the proportion of urban and rural elderly over 65 years old, but the absolute value of the per capita health cost and the relative coefficient of the elderly over 65 years old in rural areas is higher than that of the per capita health cost and the relative coefficient of the aged population over 65 years old in the city. The mortality rate of the old population over the age of 65 years in the countryside is far higher than the city's 65 year old population. The mortality of the elderly population and the imbalance of urban and rural investment in China's healthy human capital have caused the health poverty of the elderly in the rural areas of China: the proportion of the elderly population over 65 years of age in the western region of our country is rising constantly, the proportion of the aged over 65 years in the East is declining, and the investment level of the health human capital is far higher in the East region. In the western region, there is a great difference in health coefficient of population and region in China.
【學位授予單位】:陜西師范大學
【學位級別】:碩士
【學位授予年份】:2011
【分類號】:C924.2
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