主管:中国科学院
主办:中国优选法统筹法与经济数学研究会
   中国科学院科技战略咨询研究院
论文

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

展开
  • 1. 北京理工大学管理与经济学院, 北京 100081;
    2. 太原学院, 山西 太原 030032
曲卫华(1982-),男(汉族),山西静乐人,北京理工大学管理与经济学院博士研究生,太原学院讲师,研究方向:复杂系统建模、健康管理.

收稿日期: 2014-02-20

  修回日期: 2014-07-28

  网络出版日期: 2015-07-22

基金资助

教育部新世纪优秀人才支持计划(NCET-11-0792);国家自然科学基金资助项目(71272057,70972006)

The Influence of Environmental Pollution, Economic Growth and Healthcare Services to Public Health Based on China's Provincial Panel Data

Expand
  • 1. School of Management and Economics, Beijing Institute of Technology, Beijing 100081, China;
    2. Taiyuan University, Taiyuan 030032, China

Received date: 2014-02-20

  Revised date: 2014-07-28

  Online published: 2015-07-22

摘要

环境污染与经济增长对居民的公共健康水平有重要影响,但基于面板数据对此问题分区域的研究较少。本文在Grossman健康生产函数的基础上加入环境污染等多重因素,使用中国30个省市区1997年到2010年的面板数据,建立个体固定效应模型,将我国划分为东部、中部和西部三个区域,实证分析了环境污染、经济增长与医疗卫生服务对不同区域居民公共健康的影响及其差异。研究发现:环境污染、经济增长、医疗卫生服务与居民公共健康存在长期均衡的协整关系,经济增长与全国、东部和中部的公共健康关系呈现倒U型的特征;具体而言:东部区域,曲线已达到拐点,中部区域,当人均GDP为3311元时,曲线达到拐点;全国以及东、中、西部区域,工业烟尘排放量与人口死亡率呈正向关关系,工业二氧化硫排放量与人口死亡率只在中部地区显著正相关;全国、东部和中部区域人均医生数与人口死亡率呈显著负相关,西部地区未呈现这一特性;人均医疗保健支出与人口死亡率在中部地区显著负相关,医疗卫生服务可有效减少环境污染对居民的健康威胁。因此,制定差别化的环境污染、经济增长与医疗服务政策等有利于提升全国以及东中西部居民的公共健康水平。

本文引用格式

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 . DOI: 10.16381/j.cnki.issn1003-207x.2015.07.021

Abstract

Environmental pollution and economic growth have great impacts on public health, but the dynamic relationship analysis among them based on different areas' panel data is missing in existing literatures. Based on Grossman's health production function, environmental pollution factors are added to study the effects of environmental pollution, economic growth and healthcare service on public health. Using the panel data of 30 provinces in China from year 1997 to 2010, the entity fixed effects model is established and the difference among east area, middle area and west area in China is analyzed. The results show that there is a long equilibrium cointegration relationship between environmental pollution, economic growth, healthcare services and public health, and an inverted U curve is presented between economic growth and public health in the east, middle and overall China significantly. Specifically the curve has met its knee point in the east, and will meet its knee point if per GDP is 3311 Yuan in the middle. Industrial soot emissions has significant positive effect on human mortality in each areas of China, but industrial so2 emissions only has significant effect on human mortality in the middle area. At the same time, correlation between the doctor per person and human mortality is significantly negative, while it does not occur in the west area. And healthcare services spending per capita is significantly negative on human mortality in the middle area. The medical services can effectively reduce health threats to the public. Therefore, formulating differential policies of environmental pollution, economic growth and healthcare services and so on are beneficial to improve the level of public health of overall China, eastern region and midwest.

参考文献

[1] 刘鉴强. 中国环境发展报告(2013)[M]. 北京: 社会科学文献出版社, 2013.

[2] 杜建国, 王敏, 陈晓燕,等. 公众参与下的企业环境行为演化研究[J]. 运筹与管理, 2013, 22(1): 244-251.

[3] Matus K, Nam K-M, Selin N E, et al. Health damages from air pollution in China[J]. Global environmental change, 2012, 22(1): 55-66.

[4] Chen Yuling, Shih Y-H, Tseng C-H, et al. Economic and health benefits of the co-reduction of air pollutants and greenhouse gases[J]. Mitigation & Adaptation Strategies for Global Chenge, 2013, 18(8): 1125-1139.

[5] Turner M C, Krewski D, Pope Iii C A, et al. Long-term ambient fine particulate matter air pollution and lung cancer in a large cohort of never-smokers[J]. American journal of respiratory and critical care medicine, 2011, 184(12): 1374-1381.

[6] Sram R J, Binkova B, Dostal M, et al. Health impact of air pollution to children[J]. International Journal of Hygiene and Environmental Health, 2013, 216(5): 533-540.

[7] 黄德生, 张世秋. 京津冀地区控制 PM2.5 污染的健康效益评估[J]. 中国环境科学, 2013, 33(1): 166-174.

[8] 阚海东, 陈秉衡. 我国部分城市大气污染对健康影响的研究 10 年回顾[J]. 中华预防医学杂志, 2002, 1(36): 59-61.

[9] 阚海东, 邬堂春. 我国大气污染对居民健康影响的回顾和展望[J]. 第二军医大学学报, 2013, 34(7): 697-699.

[10] 陈仁杰, 陈秉衡, 阚海东. 我国 113 个城市大气颗粒物污染的健康经济学评价[J]. 中国环境科学, 2010, 30(3): 410-415.

[11] Voorhees A S, Wang Jiandong, Wang Cuicui, et al. Public health benefits of reducing air pollution in Shanghai: A proof-of-concept methodology with application to BenMAP[J]. Science of The Total Environment, 2014, 485:396-405.

[12] Pope Iii C A, Burnett R T, Thun M J, et al. Lung cancer, cardiopulmonary mortality, and long-term exposure to fine particulate air pollution[J]. JAMA: the journal of the American Medical Association, 2002, 287(9): 1132-1141.

[13] Chen Yuyu, Ebenstein A, Greenstone M, et al. Evidence on the impact of sustained exposure to air pollution on life expectancy from China's Huai River policy[J]. Proceedings of the National Academy of Sciences, 2013, 110(32): 12936-12941.

[14] Romero-Lankao P, Qin Hua, Borbor-Cordova M. Exploration of health risks related to air pollution and temperature in three Latin American cities[J]. Social Science & Medicine, 2013, 83(2): 110-118.

[15] Beatty T K M, Shimshack J P. Air pollution and children's respiratory health: A cohort analysis[J]. Journal of Environmental Economics and Management, 2014, 67(1): 39-57.

[16] Samoli E, Peng R D, Ramsay T, et al. What is the impact of systematically missing exposure data on air pollution health effect estimates?[J]. Air Quality, Atmosphere & Health, 2014, 7(25):1-6.

[17] Beelen R, Stafoggia M, Raaschou-Nielsen O, et al. Long-term exposure to air pollution and cardiovascular mortality: An analysis of 22 European cohorts[J]. Epidemiology, 2014, 25(3): 368-378.

[18] 依不拉音晓开提, 鲍玉星, 吴文华,等. 乌鲁木齐大气污染与循环系统疾病日住院人数的时间序列分析[J]. 卫生研究, 2013, 42(4): 682-685.

[19] 刘耀术, 赵庆国, 梁志江,等. 大气污染对女性健康效应的时间序列分析[J]. 环境与健康杂志, 2013, 30(6): 529-533.

[20] 周颖, 徐兴祥, 闵凌峰. 大气污染对心血管疾病的影响研究进展[J]. 实用医学杂志, 2014, 30(3): 337-339.

[21] 谢元博, 陈娟, 李巍. 雾霾重污染期间北京居民对高浓度PM2.5持续暴露的健康风险及其损害价值评估[J]. 环境科学, 2014, 35(1): 1-8.

[22] 魏一鸣, 吴刚, 梁巧梅,等. 中国能源报告(2012):能源安全研究[M]. 北京: 科学出版社, 2012.

[23] 赵金楼, 李根, 苏屹,等. 我国能源效率地区差异及收敛性分析——基于随机前沿分析和面板单位根的实证研究[J]. 中国管理科学, 2013, 21(2): 175-184.

[24] Kan Haidong, Chen Renjie, Tong Shilu. Ambient air pollution, climate change, and population health in China[J]. Environment international, 2012, 42:10-19.

[25] 陈军, 成金华, 白永亮. 能源消费背景下中国的环境质量与公众健康[J]. 管理学报, 2008, 5(4): 549-554.

[26] 周健, 崔胜辉, 林剑艺,等. 厦门市能源消费对环境及公共健康影响研究[J]. 环境科学学报, 2011, 31(9): 2058-2065.

[27] 谢元博, 李巍. 基于能源-环境情景模拟的北京市大气污染对居民健康风险评价研究[J]. 环境科学学报, 2013, 33(6): 1763-1770.

[28] 房斌. 中国能源环境健康效应的综合评估方法及其应用研究[D]. 北京: 中国科学院研究生院, 2011.

[29] Gohlke J M, Thomas R, Woodward A, et al. Estimating the global public health implications of electricity and coal consumption[J]. Environmental health perspectives, 2011, 119(6): 821-826.

[30] 曲卫华, 颜志军. 能源消费对环境与公共健康的影响——基于山西省的实证分析[J]. 北京理工大学学报(社会科学版), 2014, 16(4): 33-41.

[31] Rostila M, Kölegård M L, Fritzell J. Income inequality and self-rated health in Stockholm, Sweden: A test of the 'income inequality hypothesis' on two levels of aggregation[J]. Social Science & Medicine, 2012, 74(7): 1091-1098.

[32] Feng Zhixin, Wang W W, Jones K, et al. An exploratory multilevel analysis of income, income inequality and self-rated health of the elderly in China[J]. Social Science & Medicine, 2012, 75(12): 2481-2492.

[33] Allanson P, Petrie D. Longitudinal methods to investigate the role of health determinants in the dynamics of income-related health inequality[J]. Journal of Health Economics, 2013, 32(5): 922-937.

[34] 苑会娜. 进城农民工的健康与收入——来自北京市农民工调查的证据[J]. 管理世界, 2009, (5): 56-66.

[35] 胡洪曙, 鲁元平. 收入不平等、健康与老年人主观幸福感——来自中国老龄化背景下的经验证据[J]. 中国软科学, 2012, (11): 41-56.

[36] 赵鹏飞. 公共卫生支出与国民健康及经济发展的关系研究[D]. 北京; 北京交通大学, 2012.

[37] Grossman M. On the concept of health capital and the demand for health[J]. The Journal of Political Economy, 1972, 80(2): 223-255.

[38] 吴振信, 谢晓晶, 王书平. 经济增长、产业结构对碳排放的影响分析——基于中国的省际面板数据[J]. 中国管理科学, 2012, 20(3): 161-166.

[39] 赵忠. 我国农村人口的健康状况及影响因素[J]. 管理世界, 2006, (3): 78-85.

[40] 卢洪友, 祁毓. 环境质量, 公共服务与国民健康——基于跨国 (地区) 数据的分析[J]. 财经研究, 2013, 39(6): 106-118.

[41] 苗艳青, 陈文晶. 空气污染和健康需求 Grossan 模型的应用[J]. 世界经济, 2010, (6):140-160.

[42] 蔡圣华, 杜立民, 毕清华. 我国提高能源效率的目标设计[J]. 中国管理科学, 2012, 20(3): 152-160.

[43] 许冰, 章上峰. 经济增长与收入分配不平等的倒U型多拐点测度研究[J]. 数量经济技术经济研究, 2010, (2): 54-64.

[44] Cropper M L. Measuring the benefits from reduced morbidity[J].The American economic review, 1981,71(2):235-240.

[45] Gerking S, Stanley L R. An economic analysis of air pollution and health: the case of St. Louis[J].The Review of Economics and Statiswtics,1986,68(1):115-121.

[46] Alberini A, Cropper M, Fu T-T,et al. Valuing health effects of air pollution in developing countries: the case of Taiwan[J].Journal of Environmental Economics and Management, 1997,34(2):107-126.
文章导航

/