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目的:研究城镇化、老龄化、互联网和居民医疗支出对我国医疗卫生服务水平的影响。方法:使用2002—2013年我国31个省的面板数据,首先对我国各省的医疗卫生服务水平进行评价,然后通过建立空间动态面板数据模型,并采用BCLSDV的方法对模型进行估计。结果:各省医疗卫生服务水平存在滞后的空间外溢效应;城镇化显著地促进了各省医疗卫生服务水平的提高;老龄化显著地限制了各省医疗服务的发展;互联网和居民医疗支出对各省医疗卫生服务水平影响不显著。结论:扩大滞后空间外溢效应;发挥城镇化的积极作用;解决好老龄化给医疗卫生系统带来的挑战;发展互联网+医疗;解决医疗服务的有效供给不足。
Objective: To study the impact of urbanization, aging, Internet and resident medical expenditure on the level of medical and health services in China. Methods: Using the panel data of 31 provinces in our country from 2002 to 2013, we first evaluate the health care service in all provinces of our country. Then, we establish the data model of spatial dynamic panel and use BCLSDV to estimate the model. Results: There was lagged spatial spillover effect in all provinces; Urbanization significantly promoted the improvement of health care services in all provinces; Aging significantly restricted the development of medical services in all provinces; The health care services provided by the Internet Horizontal impact is not significant. Conclusions: Expand lag spatial spillover effect; play an active role in urbanization; address the challenges posed by aging to the healthcare system; develop the Internet + medical services; and address the inadequate supply of medical services.