■本文研究了医疗保健行业融合对东部地区公共卫生系统绩效的影响,中央,和中国西部地区。
■公共卫生绩效是通过三个标准的综合指数来衡量的:出生时的平均预期寿命,围产期死亡率,和孕产妇死亡率。使用耦合协调度方法测量了医疗保健行业的融合。空间滞后,空间误差,和空间杜宾模型被用来估计医疗保健行业融合对公共卫生系统绩效的影响,以及这种影响在东部地区的空间依赖性和异质性,中央,和中国西部地区使用2002-2019年中国30个省份的面板数据。
■医疗保健行业的融合显着促进了区域公共卫生[β=0.576,95%CI:(0.331,0.821)]。然而,这种趋同对国家层面的公共卫生系统没有空间溢出效应。此外,区域异质性分析表明,我国东部地区医疗产业趋同对公共卫生的直接影响是显著的,中部地区统计上不显著,对中国西部地区具有正统计学意义。间接影响是负面的,统计显著,积极的,统计显著,这三个地区在统计上微不足道,分别。
■政策努力应加强医疗保健行业与相关行业之间的融合。它可以提供更多当前的医疗保健服务,以改善公共卫生并减少区域卫生不平等。
UNASSIGNED: This paper examines the impact of healthcare industry convergence on the performance of the public health system in the eastern, central, and western regions of
China.
UNASSIGNED: Public health performance was measured by a composite index of three standards: average life expectancy at birth, perinatal mortality, and maternal mortality. The healthcare industry convergence was measured using a coupling coordination degree method. The spatial lag, spatial error, and spatial Durbin models were used to estimate the effect of healthcare industry convergence on public health system performance and this effect\'s spatial dependence and heterogeneity across eastern, central, and western
China using panel data from 30 Chinese provinces from 2002 to 2019.
UNASSIGNED: The convergence of the healthcare industry significantly promotes regional public health [β =0.576, 95% CI: (0.331,0.821)]. However, the convergence does not have a spatial spillover effect on the public health system at the national level. Additionally, analysis of regional heterogeneity shows that the direct effects of healthcare industry convergence on public health are positive and statistically significant for Eastern
China, statistically insignificant for Central
China, and positive and statistically significant for Western
China. The indirect effects are negative, statistically significant, positive, statistically significant, and statistically insignificant for these three regions, respectively.
UNASSIGNED: Policy efforts should strengthen the convergence between the healthcare industry and relevant industries. It can produce more current healthcare services to improve public health and reduce regional health inequality.