The Study On The Major Factors Influencing Medical Expenditure Of Urban And Rural Residents

There are always some problems of imbalance between urban and rural economic development,distribution of medical resources and unequal input in China,which lead to the health difference between urban and rural areas.Moreover,with the increasing de-mand of urban and rural residents for health,medical expenditure is also increasing.The continuing rising medical expenditure is an international problem.Discussing the in-fluencing factors of the medical expenditure of urban and rural residents in China is of great importance to control medical expenditure.Based on the Andersen model,this paper makes an empirical analysis of the health status of urban and rural residents with different characteristics by using Chinese micro survey data and discusses the influencing factors of urban and rural residents' medical expenditure.According to the analysis conclusions,the policy suggestions are put for-ward to improve the medical expenditure of urban and rural residents.Firstly,this study uses the China health and nutrition survey(CHNS)in 2006-2011 national to track survey data.And the different characteristics of the urban and rural res-idents' health and medical expenditure have carried on the descriptive analysis.Secondly,this paper conducts an empirical analysis on the influence factors of the level of urban and rural residents' medical expenditure by using OLS.The result shows that the influencing factors,which includes age,gender,education level,chronic diseases,and severity of illness,affect residents' medical expenditure remarkably,and they have a positive correlation.However,marital status,four-week prevalence rate and medical in-surance have no prominent influence on medical expenditure.For urban residents,educa-tional degree above college,men and the severity of illness have a significant positive effect for medical expenditure.While for rural residents,educational level of junior high school,chronic diseases and disease severity have a significant positive effect for medi-cal expenditure.Finally,on the premise of full empirical analysis and research on the influencing factors affecting the medical expenditure of urban and rural residents in China,this paper puts forward the mechanism of disease prevention and health management for the mid-dle-aged and the elderly,the defense system and compensation mechanism of chronic diseases and major diseases,and regular physical examination and basic health care de-livery for female residents.