[1]任晓明,吴群红.中美两国医疗消费挤出效应分析[J].卫生经济研究,2022,39(10):65-69.
　REN Xiaoming,WU Qunhong.Analysis on the Crowding Out Effect of Medical Consumption in China and the United States[J].Journal Press of Health Economics Research,2022,39(10):65-69.
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中美两国医疗消费挤出效应分析
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卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
39
期数:
2022年10期
页码:
65-69
栏目:
他山之石
出版日期:
2022-09-26

文章信息/Info

Title:
Analysis on the Crowding Out Effect of Medical Consumption in China and the United States
作者:
任晓明1; 吴群红2
1.中国社会科学院大学经济学院，北京102401
2.哈尔滨医科大学卫生管理学院，黑龙江 哈尔滨 150025
Author(s):
REN Xiaoming;  WU Qunhong
School of Economics, University of Chinese Academy of Social Science, Beijing 102401, China
关键词:
医疗消费; 动态随机一般均衡; 挤出效应
Keywords:
medical consumption;  dynamic stochastic general equilibrium;  crowding out effect
分类号:
R19
文献标志码:
A
摘要:
目的：验证中美两国是否存在医疗消费挤出效应，并对其挤出强度进行度量。方法：从宏观角度建立结构模型，采用贝叶斯参数估计和模型比较方法以及脉冲响应分析法，分析中美两国医疗消费挤出效应的存在性和差异性，并构建两种方法度量不同挤出途径的效应强度。结果：中国非医保来源的医疗消费增长能在微观和宏观层面产生挤出效应，而医保报销比例提高导致的医疗消费增长对家庭其他消费和私人投资能产生轻微的挤入作用。对美国来说，医疗消费对公共资本投资不存在显著的挤出效应。结论：应减少无效医疗、过度医疗，加强宏观政策和卫生政策的协调性，促进卫生事业和宏观经济的和谐发展。
Abstract:
Objective To verify the existence of the crowding out effect of medical consumption in China and the United States, and to measure the intensity of the effect. Methods The structural model was established from the macro point of view. Bayesian parameter estimation, model comparison and impulse response analysis were used to verify the existence and difference of crowding out effect between China and the United States. Two measurement methods were constructed to estimate the effect intensity in different channels. Results The growth of medical consumption from non-medical insurance sources in China could produce crowding out effect in micro and macro ways, while the growth of medical consumption caused by the increase of medical insurance reimbursement proportion had a slight crowding in effect on other household consumption and private investment. For the United States, there was no significant crowding out of public investment by medical consumption. Conclusion We should reduce ineffective and excessive medical treatment, strengthen the coordination of macro policy and health policy, and promote the harmonious development of health and macro economy.

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更新日期/Last Update: 2022-09-26