精准健康扶贫的经济学实验：基于四川凉山的干预研究

“疾病-贫困”陷阱的恶性循环是发展经济学关注的要点，各国都在积极探索打破“疾病-贫困”陷阱的有效途径。在中国复兴的道路上，如何跨越中等收入陷阱，是当前国家发展战略的中心问题。其中，如何破除低收入人群“因病致贫、因贫致病”的恶性循环链条是其关键挑战。根据国家“健康中国”的发展战略，首要任务之一是如何有效推进精准扶贫工作。扶贫任务艰巨复杂，除了政府的扶贫补贴，更重要的是探索如何提升贫困人群脱贫的自身能力。本研究应用实验经济学方法，以四川省凉山为基地，通过建立健康信息平台对居民健康进行系统跟踪管理，探索有效促进居民健康的途径，提升其劳动生产力，打破“疾病-贫困”的陷阱链条，从而实现精准脱贫的目标。该课题首次将实验经济学的研究方法引入中国以凉山州为代表的藏羌彝走廊，通过建立健康促进精准扶贫的实验框架，探索推进“健康中国”的创新手段，同时丰富健康经济学理论的中国实践，因此具有重要的理论和现实意义。

Poverty is both a cause and a consequence of poor health. Poverty increases the chances of poor health. Poor health in turn traps communities in poverty. Breaking the cycle of poverty and health is one of the most important tasks for the Poverty Alleviation Project in China, especially under the era of “Healthy China 2030”..This study aims at conducting a policy experimental study on the health system in Liangshan Yi Autonomous Prefecture, Sichuan Province. Counties in Liangshan will be divided into control and treatment groups. Based on an Integrated Health Information Platform, a system of health promoting polices will be launched in treatment counties. Health and economic outcomes will be compared between the treatment and control groups before and after the experiment. .This is the first study in China that applies experimental economics methods in the field of health alleviation project. The results of our study will confirm whether our health promoting policies will break the cycle of poverty and health, and will improve economic status of local residents.