Research On The Relationship Between Health Input And Residents’ Health Level In China

Objective: Health investment has a complex and important impact on residents’ health level.Grasping the relationship between health investment and residents’ health level is of great significance for improving the management of government and social health investment and promoting the improvement of residents’ health level.The purpose of this study is to explore and analyze the relationship between health input and residents’ health level in China in 2011-2019,taking the per capita consumption expenditure of residents and total per capita health expenditure as health input,focusing on the important theoretical and practical issues of whether increasing health input will definitely improve residents’ health level in the current development stage of China,combining with the actual situation of China’s economic development,such as the substantial improvement of residents’ consumption level,the basic popularization of safe drinking water,the general enhancement of nutritional status and the improvement of health environment.On this basis,based on the concept of "great health" and "great health",this paper further analyzes the relationship between other potential health influencing factors in China’s social,educational and environmental fields and the health level of Chinese residents,and puts forward countermeasures and suggestions for the government to improve the management of health input through in-depth analysis and grasp of the specific impact degree and mechanism of health input on the health level of residents.Methods: Based on the provincial panel data of 31 provinces in China from 2011 to 2019,this study takes Grossman’s health demand theory and micro-health production function as the theoretical basis to study the relationship between health input,society,education and residents’ health level,and takes China’s macro-health production function as the theoretical model to establish an empirical model,and uses the fixed effect regression model of panel data to study the relationship between health input and residents’ health level in China in the new period.In the method of selecting the indicators of residents’ health level,it is mainly based on the principles of universal recognition,directionality and feasibility.Finally,the physical and mental health level of residents is measured by the indicators of population mortality rate,maternal mortality rate,incidence rate of Class A and B legal infectious diseases and psychiatric emergency rate.In the empirical study,the above four indicators are taken as the explained variables,and the fixed effect model of panel data is used for regression analysis.Under the background of "big health",based on the theoretical model and relevant research literature on health impact factors,this study takes the proportion of urban population at the end of the year,the dependency ratio of the elderly population,the proportion of illiterate population aged 15 and above,and the emission of sulfur dioxide as the control variables at the social,educational and environmental levels,and finally obtains the true relationship between health investment and residents’ health level.In the regression process,the above control variables are gradually added to the regression model in order to gradually weaken the endogenous nature of the model.At the same time,it is verified that these factors may be related to the health level of residents at the level of econometrics.Results: Taking 2011-2019 as the research stage,using the panel data of 31 provinces in China,taking the proportion of urban population at the end of the year,the dependency ratio of the elderly population,the proportion of illiterate people aged 15 and above,and sulfur dioxide emissions as the control variables,and using the fixed effect model to make regression analysis,it is concluded that there is no significant relationship between the per capita consumption expenditure of Chinese residents and the mortality rate and the incidence of Class A and B legal infectious diseases.The per capita consumption expenditure of residents is negatively correlated with maternal mortality.The per capita consumption expenditure of residents is positively correlated with the outpatient and emergency rate of psychiatric department.There is no significant relationship between the total per capita health expenditure and population mortality,maternal mortality and the incidence of Class A and B legal infectious diseases in China.The per capita total health expenditure is negatively correlated with the outpatient and emergency rate of psychiatric department.Based on the concept of "great health",this study also obtained the regression result of control variables on residents’ health level: the proportion of urban population is significantly positively correlated with maternal mortality.The dependency ratio of the elderly population is positively correlated with population mortality,maternal mortality and psychiatric outpatient and emergency rates.The dependency ratio of the elderly population is negatively correlated with the incidence of Class A and B legal infectious diseases.The proportion of illiterate people aged 15 and above is positively correlated with the population mortality rate.Sulfur dioxide emissions are positively correlated with maternal mortality and the incidence of Class A and B legal infectious diseases.Conclusion: The relationship between health investment and residents’ health level is concrete and complicated.Scientific and reasonable planning and arrangement of health investment is the key to play its role in promoting residents’ health level,that is,the relationship between health investment and different aspects of residents’ health(different health measurement indicators)is concrete and has certain differences.Specifically,increasing residents’ consumption input may improve the health level of pregnant women,but it will not significantly reduce the population mortality rate and the incidence of Class A and B legal infectious diseases,and may be accompanied by an increase in residents’ mental health problems.Increasing the investment in health expenditure may improve the mental health level of residents,but it will not significantly reduce the population mortality rate,maternal mortality rate and the incidence of Class A and B legal infectious diseases.Compared with the last century,in the period of 2011-2019,the health level of Chinese residents has reached a relatively high level at the beginning of the study,and there is relatively little room for improvement.During this period,the health level of Chinese residents has changed relatively little,so it is difficult to continue to improve.At the same time,although the absolute scale of health investment is high and increasing year by year,the increase is relatively small.Taking 2011-2019 as the research stage,the marginal effect of China’s health investment on residents’ health level is largely insignificant;however,increasing residents’ consumption investment may still bring about the improvement of maternal health;increasing the input of health expenditure may bring about the improvement of residents’ mental health level.Based on the conclusion of this study,the following suggestions are put forward: Attach great importance to the health management of pregnant women,especially those in economically underdeveloped areas.Pay attention to mental health and strengthen mental health investment.Establish the concept of "great health" and "great health" to safeguard people’s health in all directions and throughout the cycle.Promote the transformation of health care from "treating diseases as the center" to "taking health as the center",gradually shift the focus of work to improve the health quality of the people,and realize the high-quality development of health care.