The Relative Analysis Of The Whole Country And Liaoning Province Expense In Sanitation And Increase In GDP

IntroductionThe relative analysis of expense in sanitation and increase in GDP has been a hotissue in the researches worldwide. Recent years, a lot of researches have also been donein our country. The study of these problems is of great importance for understandingthe situation where our development lies, and for making sanitary financing policiesthat adapt social-economical coordinate development of our country and differentregions. On this basis, this research aim to answer the following questions: what's therelationship between national and Liaoning province CDP increase and increase in totalexpense of sanitation? What's the difference compared to international criterion?Should there be any improvement? It has certain significance for makingmacroscopically economic policies further and programming the development of oursanitary career.Subjects and MethodsThis research use time sequence data from 1978-2005 of our country and1990-2005 of Liaoning province. It gives a descriptive analysis for the followingaspects: the development trend of total sanitary expense, the proportion of total sanitaryexpense in GDP and elastic index of sanitary consumption. This research's data comesfrom three main sources: the literature information in existence, the accounting data oftotal sanitary expense from sanitary-economic graduate school of ministry of health,and final accounting data from financing department of ministry of health. Resultsâ… ,Analysis of relative data in national sanitary total expense.â…°.Contrast between national sanitary total expense and trend of GDP increase.National sanitary total expense and trend of GDP increase has concentric relative relationshipduring these 27 years, and sanitary total expense always increases according to the increase ofeconomics. Especially in 1996-1998, the increase rate is fastest, which has relation to themacroscopically economical background, because at that time the national economics is overheated.Since 1998, after the execution of macroeconomic control, the increase rate of sanitary total expensegradually descends.â…±.The trend contrast between the Chinese average GDP and the GDPproportion used for medicineAlthough average GDP in our country is sustaining rising, the medical expenditure is curved asa "U" shape. The curve descends during 1984-1986, began to raise during 1987-1989, its hover atabout 4.0% between 1990-1992. Again it descends during 1993 to 1994,but soar next time at1995 .The total medical expenditure makes up 4.73% of GDP at 2005.Totally speaking, the medicalexpenditure is increased with development of the economy and improvement of living standard. Itjust fluctuated when the economy strategy was adjusted once in a while. According to the standardof world medical organization, the proportion of medical expenditure in GDP should not below 5%;we still have a large distance to this standard.â…².The elastic coefficient target of Chinese sanitation consumptionThe elastic coefficient of sanitation consumption is respectively 0.34, 0.65, and 0.46 in the year1985, 1993 and 1994, which shows that the development of sanitary is severely behind the economydevelopment. However, in the year 1989 and 1990, the elastic coefficient is nearly 4%, whilebetween 1996 to 1999; it is as high as 1.5%.This phenomenon shows that the sanitary expenditure isfaster than the development of our country, because some irrational factor contributes to the sanitaryexpenditure. Nonetheless, the rate of medical expenditure is slow down, but still faster than the rateof development of GDP. Compare to the standard of OECD, the ratio of the sanitary increasing toeconomy increasing should be 1.187 that in our country is 1.373, which is still higher than the standard.â…¡.Statistics analysis of medical expenditure in Liaoning provinceâ…°.The trend contrast between the increase of GDP and the GDP proportionused for medicineSanitary expenditure is keeping increase in Liaoning in these 15 years, whereas in most of theseyears, it increases with the increasing of economy. However in only a few years it decreasesalthough the GDP soar. The most rapid increase happened during1991 to 1994, in which period therate is about17%-20%. Since we use macroscopically regulation, the medical expenditure decreasedso as the GDP. From year 1997 on, economy begin to rise and the medical expenditure began to riseagain. This statistics is up to 18% during 1999 to 2000. All above shows that the GDP is a veryimportant factor which has influence on the sanitary expenditure.â…±.The contrast of average GDP in Liaoning and the proportionThe average GDP in Liaoning is ascending continuously from 1990 to 2005.At the sametime ,the proportion of the total sanitary cost in GDP is not increasing as the development ofeconomy .The trend of proportion is in an appearance of "U" shape .The proportion is around 4%from 1990 to 1992,which is descending to about 3.5% from 1993 to 1996, increasing again in1998,decreasing a little from 2002 to 2003,increasing in 2004,and sliding down a little in 2005.Thewave-like development has direct relationship to the regulation of domestic economic policy.Besides the standard put forward by WHO that the expenditure for sanitation in GDP shouldreach to or exceed 5% in all countries ,according to the aim that the expenditure for sanitationin GDP should reach to 5% by the end of this century put forward by{} ,our province has neverreached the goal ,which shows that our province is far from our country's requirement.â…².Elastic coefficient target of sanitary consumption in Liaoning provinceThe average increasing rate of sanitary expenditure in Liaoning is 13.29% during 1990 to 2005.At the same time the average increasing rate of GDP is 15.05%, and the elastic coefficient ofmedical consumption is 0.88. In summary the increasing rate of medical expenditure in LiaoNingis slower than the rate of economy development.Since the elastic coefficient is respectively 0.48,-0.6, 0.02, 0.32 in 1993, 1997, 2002 and 2005, the sanitary development is obviously left behind. Nevertheless, the statistics during1998 to 2000 is1.5%-3.5%, which shows the medical development just much faster.â…¢.Compared analysis between Liaoning province and the wholecountryThe proportion of sanitary expenditure in GDP of our province is lower than the countrywidelevel; the same thing happened to the average development rate, however, the medical expenditurefor each person is higher than the country level. In the countrywide level, the proportion of medicalexpenditure in GDP is 4.73%, but that in our province is only 4.1%. In the aspect of personalexpenditure, the average expenditure in the whole country is 662.3 in RMB, but in our country thatis 678 in RMB. These two judgments are different from each other.Discussionâ… .Liaoning Province and the total health costs in the development of thenational economy and overall trend in the law.In the period 1978-2005, the total health costs and GDP growth with the overall trend of thecorrelation between total health expenditure is always with the economic growth and growth. In theperiod 1990-2005 the overall costs of the Liaoning Provincial Health has also maintained a growthmomentum, with the exception of the year, in most years in the economic growth and sustainedeconomic growth. The economic impact of total health expenditure is the level of important factors.â…¡.Liaoning Province and the national total health costs are comparatively lowproportion of GDP.From the international level, China's total health costs accounted for the low proportion of GDP,China's use of the world's 1% of the total cost of health protection 22% of the world's population,China's health investment is less, and the people's health care consumer will be the capacity to paybecause of constraints, it was in a state of suppression, not fully realized. Liaoning Province withthe international and domestic proportion of this to be achieved compared with the standard value isfar more, to be bigger improvements. Therefore, the total health costs continue to trend growth is inevitable, and should be faster than the growth of the national economy, but the government shouldbe total health cost increases in the scale of reasonable limits.â…¢.The excessive growth of total health expenditure.The OECD identified with the growth of health costs and the coordinated development ofnational economic growth ratio of 1.187, and Du Lexun experts put the total cost of health spendingshould be more than a coefficient of elasticity, total health expenditure growth should be faster thanthe growth of the national economy, maintain a coefficient of elasticity .2-1.3 compared withChina's national conditions between the numerical comparison, the majority of China's 1995 yearsafter the elastic coefficients were higher than the standard value, the total health costs of the rapidgrowth and, with the aging of China's population is growing, people's increasing demand for health,the total health expenditure growth will likely accelerate. Therefore, we also need to redouble ourefforts at all levels of government to continue to deepen the reform of medical and health andmedical insurance system reform, to maintain the health policy measures and the complementaritiesbetween coordination, and the elimination of unreasonable total health costs rise, reducing healthcosts burden residents.â…£.Liaoning Province total health expenditure growth was unstable state.The Liaoning Provincial Health elasticity of consumption in these years is not stable, andsometimes more than one, sometimes less than one and sometimes a negative, the healthdevelopment in Liaoning province some serious time behind the economic growth, but some time inthe fast growth of the national economy, too ahead, showing a state of instability, and experts putthe total cost of health spending should be more than a coefficient of elasticity, total healthexpenditure growth should be faster than the growth of the national economy, maintainelasticity coefficient between 120-130 completely inconsistent with the standard, whichshould attract the attention of the health sector.â…¤.Liaoning Province with the data in a high-contrast a low phenomenon.Total health expenditure to GDP and per capita total health costs of the two main indicators,our province and the country than the one in a high-low phenomenon is the main reason ourprovince is not the absolute value of total health costs low, but the higher the absolute value of GDP in 2005, the per capita gross domestic product of value of 14,040 yuan and 18,983 yuan in LiaoningProvince up in calculations of total health expenditure to GDP, the denominator bigger , smallerproportion. But this is only objective factors, in general, with the level of economic development,government and community input on health should also be geometric increase.Conclusionsâ… .Sanitation development is affected by national economyâ…¡.The relevant authorities should establish the early warning system of the total costof sanitationâ…¢.The coordinate development of sanitation and national economy...