Abstract:

This paper analyzes the relationship of basic medical health resources supply differences and per capita GDP differences between underdeveloped cities and developed cities in China from 2000 to 2016. Based on lagged adjusted panel data model, we analyze the convergence of per capita GDP, and the convergence of the changes on basic medical health resources supply level with per capita GDP in 287 prefecture-level cities of China. Our findings are as follows:(1)From 2000 to 2016, there is absolute β convergence of per capita GDP among Chinese cities, and the economic convergence rate begin to decline after 2008;(2)The overall basic medical health resources supply gap between underdeveloped cities and developed cities is remarkably convergent. After the new healthcare reform, the convergence rate is accelerating, but the convergence speed is still much slower than that of per capita GDP;(3)There is absolute β convergence in the economic development of large, medium and small cities. Before the new healthcare reform, basic medical health resources supply differences between underdeveloped and developed medium-sized cities shows a decentralized trend along with the economic convergence. However, basic medical health resources supply gap of large, medium and small cities is converging after the new healthcare reform, and the convergence speed of the large-sized cities is declining;(4)The urban economic development of the four regions has absolute β convergence. Basic medical health resources supply gap between cities in eastern and central regions has been significantly converging, and it shows an accelerating trend after the new medical reform. However, there is a decentralized trend in basic medical health resources supply gap between Western and Northeastern regions and the rate has declined after the new healthcare reform.

Key words: per capita GDP, basic medical and health resources supply, regional difference, convergence

摘要：

通过分析2000—2016年中国欠发达城市与发达城市之间的基本医疗卫生资源供给差异与人均GDP差异之间的关系，在使用滞后调整的面板数据模型基础上，对全国287个地级市的人均GDP收敛性及其基本医疗卫生资源供给水平随人均GDP变化的收敛性进行实证分析，得出如下结论：（1）2000—2016年，中国城市间人均GDP存在绝对β收敛，2008年后城市间经济收敛速度开始下降；（2）欠发达城市与发达城市之间总体的基本医疗卫生资源供给差异是显著收敛的。新医改之后其收敛速度呈加速趋势，但其收敛的速度仍远慢于人均GDP的收敛速度；（3）按照城市规模测算，大中小三类城市经济发展均存在绝对β收敛，新医改之前中等城市的欠发达与发达城市间基本医疗卫生资源供给差异随经济收敛呈现分散趋势，新医改之后，三类城市基本医疗卫生资源供给差异均呈现收敛状态，但大城市收敛速度呈下降趋势；（4）按照区域分类，四大区域的城市经济发展均存在绝对β收敛，东、中部地区欠发达城市与发达城市之间基本医疗卫生资源供给差异存在显著收敛，并且在新医改之后表现出加速趋势，西部及东北地区基本医疗卫生资源供给差异呈现分散趋势，但新医改之后其分散速度有所下降。

关键词: 人均GDP, 基本医疗卫生资源供给, 地区差异, 收敛