Study On The Fairness Of Health Services And The Poverty Of Patients' Health Expenditures In Various Regions Of China

1.Research purposes(1)Studying the status of health equity in various regions of China from the aspects of medical resource allocation,primary medical resource allocation,health financing and medical subsidy,using the Theil index to measure the national health resources of the country and the inter-regional and regional regions of the eastern,central and western regions.Internal differences,suggestions for improvement.(2)To measure the poverty status of health expenditures of patients in various regions of China from the aspects of poverty,breadth,depth and intensity of health expenditure,and to use spatial econometric model to study whether the breadth,depth and intensity of poverty expenditure in China have spatial clustering.(3)Using the ridge regression model to explore the impact of various indicators of health equity on the poverty of patients'health expenditures,to find out the modules in China's regions where health equity is insufficient,and to provide accurate and targeted policy optimization opinions.2.Research methods(1)The Theil Index is based on the China Health and Family Planning Statistical Yearbook.We uses the Thail index to calculate intra-and inter-regional differences between the country and the eastern,central and western regions,and to assess the fairness of domestic health resource allocation.Evaluation.(2)Based on the“China Family Tracking Survey"data,the FGT index uses the FGT index to measure the health expenditure poverty in various regions of China from the perspective of the breadth,depth and intensity of poverty,and uses GEODA software to check whether there is room for health expenditure poverty.Aggregation.(3)Ridge Regression Based on the results of the previous two steps,a ridge regression model was established to eliminate the multicollinearity between data and to examine the impact of health equity on health expenditure poverty.3.Research results(1)In terms of allocation of health resources,the regional differences in the number of medical institutions are greater than the number of health technicians and beds.In terms of the utilization of health services,the number of health checkers is the most different among regions.The fairness of the number of outpatients,the number of health checkers and the number of hospital admissions in the central region are worse than those in the eastern and western regions.In terms of health financing levels,the regional differences in government health expenditures are greater,indicating that health expenditures vary widely among governments in different provinces.In terms of medical assistance,the number of sponsored insurers and the number of direct medical aids is larger than the total amount of medical assistance,indicating that there is a large gap in the benefits of medical assistance between provinces.(2)In the more developed eastern provinces,the breadth of poverty is also low,but the breadth of health expenditure poverty is not low or even higher.The breadth,depth and intensity of health expenditure poverty in Hubei,Jiangxi and Hunan are very serious.The level of medical security has a certain effect on alleviating the poverty of health expenditure,but its effect is limited,and the regional differences are obvious.There is a significant positive spatial agglomeration in the incidence of poverty,and the spatial agglomeration of health expenditure poverty is not obvious.(3)Health technicians per thousand population,the number of bed-level beds per 1,000 population,the number of hospital admissions per capita,the proportion of government health expenditure,the proportion of social health expenditure,the proportion of personal health expenditure,and the expenditure of medical insurance per 1,000 population have passed the significant test.,indicating that their impact on health spending poverty is statistically significant.4.Research conclusionsIn order to improve the fairness of health resources allocation in China and improve the poverty situation of health expenditure,combined with the research results,it is proposed to rationally allocate health resources and improve the accessibility of health services;attach importance to the allocation of health technicians,reduce the poverty of health expenditure;rationally plan the allocation of grassroots resources,Strengthen the implementation of grading diagnosis and treatment;attract social capital,increase the proportion of social health expenditure;rationally allocate government health expenditure;expand the way of medical aid financing,strengthen the effectiveness of the bottom guarantee;clarify the target group of medical assistance and improve the efficiency of medical assistance.