题名

Determinants of Out-of-pocket Health Payments with Policy Effects

并列篇名

個人衛生支出的決定因素及其政策效應

DOI

10.6186/IJIMS.2014.25.4.4

作者

許冰(Bing Xu)；李毅娜(Yi-Na Li)；戚立才(Li-Cai Qi)

关键词

個人衛生支出 ； 路徑識別 ； 規模擠入效應 ； 負向配置效應 ； 政策效應 ； Out-of-pocket health payments ； path identification ； scale crowding-in ； negative allocation ； policy effects

期刊名称

International Journal of Information and Management Sciences

卷期/出版年月

25卷4期（2014 / 12 / 01）

页次

331 - 348

内容语文

英文
中文摘要

本文建立一個數據驅動的非參數模型框架，應用規模和配置效應去研究中國的個人衛生支出的決定因素。研究發現，個人衛生支出的決定因素是：醫療收入佔比、藥品收入佔比、財政補助佔比、醫院的職工人數、病床使用率、資產收益率、醫保覆蓋率、經濟發展水平以及人均可支配收入。個人衛生支出決定因素的作用機制是不同的，其中，前三個因素是線性的，其他是非線性的。2008年以後，決定因素的作用機制日趨複雜，線性和非線性相互轉換。線性作用機制主要呈現規模擠入效應，而非線性作用機制主要呈現負向配置效應。因此，綜合考慮資產收益率、醫保覆蓋率、經濟發展水平和個人可支配收入，可以有效降低個人衛生支出佔比。
英文摘要

This paper establishes a data-driven framework with nonparametric models with application of scale and allocation effects to study the determinants of out-of-pocket health payments (OOP) in China. The determinants of out-of-pocket health payments are the proportions of medical income, drug income to total hospital revenue, financial aid, number of hospital staff, actual rate of bed usage, return on assets, health care coverage, economic development level, and per capita disposable income. The operation mechanisms of OOP determinants are more different with the three linear factors than with the nonlinear factors. The transformation between linear and nonlinear roles has turned to more complicated since 2008. The scale effect of crowding-in is mainly witnessed via linear mechanism, while the negative allocation effect is mainly observed mainly through a nonlinear mechanism. Thus, the proportion of OOP can be effectively reduced with the comprehensive consideration of return on assets, healthcare coverage, economic development level, and per capita disposable income.
主题分类 基礎與應用科學 > 資訊科學
社會科學 > 管理學
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