The Efficiency Driving Factors Of The Rapid Growth Of Health Care Cost

Since the beginning of the 21 st century,China's health care cost has shown a rapid growth.From 2006 to 2014,the national total health expenditure increased by 258.74%,the average annual growth rate is close to 20%,ranking the first in the world and the proportion of total health expenditure to GDP also increased from 4.52%to 5.55%.The necessary medical resources for a country's economic and social development of the cause of health is essential,but too fast medical costs rise but will swallow the welfare benefits of reform.Especially in the new economic norm,with the gradual slowdown in China's economic growth,if the total cost of health still maintained such a high growth rate of rapid growth,it will inevitably be a burden on the economy and society.Therefore,analyzing the irrational factors behind the rapid growth of health care costs and controlling them through relevant measures will improve the efficiency of medical resources input and service.This is one of the hot topics that the government and academia are concerned about.This paper based on the systematic review of related literature at home and abroad,divides the driving factors of health care cost into three types:demand,supply and efficiency.Combined with the current situation and challenges of China's medical system reform,Multiplicative analysis of Baumol's variables and the effect of "over-care" proxy variables on the growth of health care costs.In view of the fact that the financial investment in hospitals can increase the negative impact of efficiency on the expenditure of social medical expenditure,the un-factor and multi-factor PSTR model is used to analyze the negative effect of efficiency factor on the ratio of fiscal expenditure to health care cost.The Nonlinear Smooth Transition Mechanism of Health care cost.The conclusions of empirical results are summarized as follows:(1)Baumol variable and "over-medical" agent variables have a significant positive effect on the growth of health care costs,and a greater impact,indicating that China's rapid increase in social medical expenses behind the existence of inefficient factors driven;(2)Medical resources concentrated intensified the medical industry's regional and hierarchical monopoly,and then make the medical cost of the unreasonable growth is more serious;(3)When the proportion of the lagged financial expenditure is the conversion variable,there is a non-linear smooth transition mechanism effect between the efficiency driver and the growth of health care cost.Under the current public medical resource input efficiency ratio,the proportion of over 7.7%will enhance the negative driving effect of efficiency factors.The possible innovations of this paper are summarized as follows:(1)Paying Attention to Baumol's Effect of "Cost of Disease" and "Excessive Medical Treatment"on Rapidly Increasing Health care cost from the View of Efficiency;(2)The PSTR model is used to analyze the non-linear effects of efficiency drivers on the growth of health care costs with the public policy proxy variable as the transformation variable.