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               第5期 总第124期                           南京医科大学学报(社会科学版)京医科大学学报(社会科学版)                             ·
                 2024年10月                     Journal of Nanjing Medical University(Social Sciences)of Nanjing Medical University(Social Sciences)  · 439
                                              Journal
              [3] 林毅夫,付才辉,张皓辰,等. 中国式老龄化:新结构经                    [10]KALANTARI A R,MEHROLHASSANI M H,SHATI M,
                    济学的新见解[J]. 学术论坛,2024,47(1):1-15                   et al. Health service delivery models for elderly people:
              [4] 陆杰华,张莉. 从长寿到健康:中国特色人口健康的理                           a systematic review[J]. Med J Islam Repub Iran,2021,
                    论与实践[J]. 南开学报(哲学社会科学版),2024(2):                   35:21
                    1-12                                        [11]HANSEN B E. Threshold effects in non⁃dynamic panels:
              [5] 孙琳,高司民. 财政分权、老龄化和“重医疗、轻预防”:                         estimation,testing,and inference[J]. J Econom,1999,93
                    阐释与对策[J]. 复旦学报(社会科学版),2022,64(6):                (2):345-368

                    170-181                                     [12]程杰,赵文. 人口老龄化进程中的医疗卫生支出:WHO
              [6] 韩秀兰,王思贤,李俊明. 基于人口老龄化的中国医疗                           成员国的经验分析[J]. 中国卫生政策研究,2010,3
                    卫生人员配置充分性测度——贝叶斯时空演化分析实                          (4):57-62
                    证[J]. 数理统计与管理,2023,42(3):381-390            [13]牛雨婷,赵允伍,王晓松,等. 基于老龄化导向的社区
              [7] 王晓峰,冯园园. 人口老龄化对医疗卫生服务利用及                            慢病管理实践现状及思考[J]. 南京医科大学学报(社
                    医疗卫生费用的影响——基于CHARLS面板数据的研                         会科学版),2023,23(1):7-13
                    究[J]. 人口与发展,2022,28(2):34-47                [14]GEMMA W,JONATHAN C,TOMÁŠ R,et al. Sarah bar⁃
              [8] 李时宇,冯俊新. 人口结构对中国卫生费用影响的再                            ber sustainable health financing with an ageing popula⁃
                    测算——基于改进因素分解法的研究[J]. 人口与经                         tion:will population ageing lead to uncontrolled health
                    济,2023(3):100-116                                 expenditure growth?[EB/OL].[2024- 01- 08]. http://
              [9] 彭希哲. 老龄化背景下的人口年龄结构[J]. 上海交通                         www.healthobservatory.eu
                    大学学报(哲学社会科学版),2023,31(2):14-24                                             (本文编辑:姜 鑫)





                  A study on the threshold effect of population aging level and health

                                     resource allocation in OECD countries

                                                          1
                                                                        1
                                             ZHOU Jianfang ,CHEN Yaner ,LIN Jie 2
                  1. Population Research Institute,Nanjing University of Posts and Telecommunications,Jiangsu High Quality Development
                Comprehensive Evaluation Research Base,Nanjing 210042;2. Jiangsu Health Development Research Center,Nanjing 210042,
                                                             China
                   Abstract:This research collected 1 824 panel data from 32 OECD countries that have entered moderately
               or severely aging societies from 1965 to 2021 to analyze the threshold effect of population aging on health
               resources and the inherent laws of population aging level and health resource allocation,which provides
               references for China’s planning of health resources. The results showed that the level of population aging was
               significantly positively correlated with the proportion of health expenditure to GDP and the number of doctors
               per thousand population,but negatively correlated with the number of hospital beds per thousand population.
               There was a structural leap of 14.486% between the population aging level and the proportion of health
               expenditure to GDP,with the correlation coefficient increasing from 0.112 9 to 0.169 1. At 17.599%,there was
               a structural jump in the number of doctors per thousand population,with a correlation coefficient increasing
               from 0.008 2 to 0.025 9. There was no significant threshold effect between the level of population aging and the
               number of inpatient beds per thousand population during moderate to severe aging. We recommended that China
               first increase the training and investment in health human resources in moderately or severely aging regions,
               while other regions should plan in advance to cope with population aging actively.
                   Key words:population aging;OECD countries;health resources;threshold effect
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