妇幼健康关系到长期人力资本形成,是“健康中国2030”战略规划的重要领域。农村的妇幼健康水平相对薄弱,而针对需求侧的卫生政策是重要的政策实施方向。文章关注了农村孕产妇住院分娩补助政策,使用双重差分策略考察其成效。研究表明,农村孕产妇住院分娩补助政策的实施显著提高了农村孕产妇的住院分娩率,并且效果逐年累积。分地区来看,政策效果符合向中西部弱势地区倾斜的定位。在低收入、经产妇人群中,政策效果相对有限。政策效果随医疗卫生机构的密度上升而提升,体现了医疗供给侧联动改革的重要性。对妇幼健康的进一步分析表明,农村孕产妇住院分娩补助政策能够通过提升分娩技术来改善孕产妇健康,但没有提升养育行为的科学性,因此对婴幼儿健康可能没有产生积极影响,而医疗卫生机构的密度能够增进政策的妇幼健康效果。文章的研究有助于未来在重点人群、供给侧政策配合等方面完善妇幼健康政策,也为实施需求侧卫生补助政策提供一定参考。
需求侧卫生政策与妇幼健康——基于农村住院分娩补助政策的经验研究
摘要
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引用本文
王晓霞, 赵丽惠. 需求侧卫生政策与妇幼健康——基于农村住院分娩补助政策的经验研究[J]. 财经研究, 2023, 49(5): 64-78.
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