环境质量对居民医疗保健支出的影响
The Impact of Environmental Quality on Household Health Care Expenditure
摘要: 将二氧化硫排放量作为环境质量的代理变量,用2006~2015年全国居民家庭人均医保支出、城乡居民人均可支配收入、城乡收入比、医保价格指数、CPI、参保比重数据,建立动态面板数据模型,在全国数据的基础上,分别探究三大地区居民人均医保支出和收入、环境间的关系。实证结果表明:二氧化硫排放量的增加,使人们增加对医疗服务的需求,医疗保健支出增多;其中,东部地区环境质量对医疗保健支出的影响最大,西部地区最小。
Abstract: This article sees the industrial sulfur dioxide emissions as a proxy for the quality of the environ-ment. Then, we collect per capita medical insurance spending of China’s residents, per capita dis-posable income of urban and rural residents, urban and rural income ratio, health care consumer price index, Consumer Price Index and the percentage of medical insurance from 2006 to 2015 to establish a dynamic panel data model. Based on the national data, we explore the relationship between per capita medical insurance spending of Chinese residents, annual income of residents and environmental quality in the three major areas. Empirical results show that with the increase in sulfur dioxide emissions, people increase the demand for medical services and the spending on health care will increase. In the eastern region, the impact of environmental quality on medical insurance spending is maximum, and the western region is minimum.
文章引用:耿佳慧. 环境质量对居民医疗保健支出的影响[J]. 社会科学前沿, 2017, 6(9): 1135-1144. https://doi.org/10.12677/ASS.2017.69162

参考文献

[1] Neidell, M.J. (2004) Air Pollution, Health and Socio-Economic Status: The Effect of Outdoor Air Quality on Childhood Asthma. Journal of Health Economics, 23, 1209.
[2] Schwartz, J. and Dockery, D.W. (2012) Increased Mortality in Philadelphia Associated with Daily Air Pollution Concentrations. The American Review of Respirator Disease, 3, 600-604.
[3] Mead, R.W. and Brajer, V. (2005) Protecting China’s Children: Valuing the Health Impacts of Reduced Air Pollution in Chinese Cities. Environment and Development Economics, 10, 745-768.
[4] Jerrett, M., Eyles, J. and Dufournaud, C. (2003) Environmental Influences on Health Care Expenditures: An Exploratory Analysis from Ontario, Canada. Journal of Epidemiology and Community Health, 57.
https://doi.org/10.1136/jech.57.5.334
[5] Newhouse, J.P. (1997) Medical-Care Expenditure: A Cross-National Survey. The Journal of Human Resources, 12.
[6] Narayan, P.K. and Narayan, S. (2008) Does Environmental Quality Influence Health Expenditures? Empirical Evidence from a Panel of Selected OECD Countries. Ecological Economics, 65, 367-374.
[7] 周晓铁, 何兴舟. 室内空气污染对慢性阻塞性肺部疾病的影响[J]. 中国环境科学, 2006, 26(5): 591-594.
[8] 徐厚恩, 张枢贤, 王绍汉, 周宗灿. 飘尘和二氧化硫污染对呼吸道疾病的影响[J]. 环境科学, 1981, 2(5): 77-79.
[9] 马艳琴, 王俊东. 环境污染与心血管系统疾病关系发展[J]. 中国公共卫生, 2011, 27(6): 800-802.
[10] 尹希果, 付翔, 陈刚. 城镇居民收入差距对医疗保健消费影响研究[J]. 中国卫生统计, 2007, 24(2): 135-137.
[11] 季琳. 河北省农村居民收入与医疗保健支出关系的实证分析[J]. 商, 2014(45): 42.
[12] 欧阳志刚. 农民医疗卫生支出影响因素的综列协整分析[J]. 世界经济, 2007, 30(9): 47-55.
[13] 高梦滔, 姚洋. 健康风险冲击对农户收入的影响[J]. 经济研究, 2005(12): 156-157.
[14] 林相森, 艾春荣. 我国居民医疗需求影响因素的实证分析——有序probit模型的半参数估计[J]. 统计研究, 2008, 25(11): 40-45.
[15] 王学义, 张冲. 中国人口年龄结构与居民医疗保健消费[J]. 统计研究, 2013, 30(3): 59-63.
[16] 曲卫华, 颜志军. 环境污染、经济增长与医疗卫生服务对公共健康的影响分析——基于中国省际面板数据的研究[J]. 中国管理科学, 2015, 23(7): 166-176.
[17] 林相森, 舒元. 我国居民医疗支出影响因素的实证分析[J]. 南方经济, 2007(6): 22-30.
[18] 徐冬林, 陈永伟. 环境质量对中国城镇居民健康支出影响[J]. 中国人口资源与环境, 2010, 20(4): 159-164.
[19] 宋桂香, 江莉莉, 陈国海. 上海市大气气态污染物与居民每日死亡关系的时间序列研究[J]. 环境与健康杂志, 2006, 23(5): 390-393.