关键词: 地方财政卫生投入, 城市医疗卫生公共服务, 规模效应, 质量效应

Abstract:

Based on the urban administrative hierarchy and the heterogeneity of economic regions, this paper conducts research on the scale and quality effects of the local financial and health investment on the supply of urban medical and public services. Results of the empirical tests are as follows: (1) The local financial health input significantly improves both the supply and the demand of urban public health services in terms of the scale and the quality through the development of the local economy and the improvement of the efficiency of medical input and output; (2) When the administrative hierarchy of cities and the heterogeneity of economic regions are introduced, the local financial health investment shows a significant feature of “helping the disadvantaged”, and both the low-level urban agglomerations and the urban agglomerations in economically underdeveloped regions show a tendency of “scale effect prevailing”, and solve the problem of mismatch of resources in the medical and health field according to the logic of “quantitative change causing qualitative change”; (3) In the current situation where the supply and the demand of medical and public services in China are severely misaligned, the local fiscal and health investment is still at the “increasing marginal effect” stage, but the existence of the “ceiling” effect of the active fiscal policy should not be ignored; (4) Unexpected public health incidents cannot quickly improve the ability to respond to urban public health crises, but the timely increase of the local fiscal health investment can effectively reduce the response time lag.

Key words: Local Financial Health Input, Urban Medical and Public Services, Scale Effect, Quality Effect