Research On The Equalization Of Basic Medical And Health Services In Urban And Rural Areas In China And It’s Influencing Factors

Basic medical care and health services are related to the realization of every citizen’s health right.With the development of economy and society,great achievements in the medical and health care area have been made,but the problem of unbalanced development between urban and rural areas is still obvious.At present,the principal contradiction in china society has turned into the contradiction between the people’s growing needs for a better life and the unbalanced and inadequate development.The people’s needs for basic medical and health services reflect their needs for a better life.Therefore,it is of great significance to study the development level of equalization of basic medical and health services in urban and rural areas and its influencing factors.This study has combed the changing process of the basic medical care and health service system in the urban and rural areas since the founding of the People’s Republic of China.Based on the panel data of 29 provinces(municipalities and autonomous regions)from 2007 to 2020,by constructing a comprehensive evaluation index system,entropy method and information entropy principle were used to systematically evaluate and compare the equalization level of basic medical care and health services in urban and rural areas,and Dagum Gini coefficient method was used to decompose the sources of differences.After that,the spatial panel measurement model is used to analyze the factors affecting the development of equalization of basic medical care and health services in urban and rural areas.The main conclusions are drawn:(1)The vicissitudes of basic medical care and health service system in urban and rural areas have experienced the zigzagging development process.(2)From 2007 to 2020,the equalization level of basic medical care and health services in urban and rural areas in all provinces and cities has been improved to varying degrees,and there is great regional heterogeneity among different regions.There is a large gap between the equalization level of the eastern region and the other three regions,but the gap between the other three regions is small.(3)The overall Gini coefficient showed a steady downward trend from 2007 to 2020.Although the contribution degree of inter-regional disparities shows a weakening trend,it is still the main source of the difference in the equalization level of basic medical care and health services between urban and rural areas,and it is much higher than the contribution of intra-regional disparities and supervariable density disparities.(4)Financial selfsufficiency rate,per capita transfer payment,urbanization rate,economic development level and dependency ratio have significant promoting effects on the equalization level of basic medical care and health services in urban and rural areas;However,government expenditure preference,local government competition,degree of marketization,degree of opening to the outside world,and population density have no significant positive effect on the equalization level of basic medical care and health services in urban and rural areas.Based on the above research conclusions,this paper puts forward the following suggestions: first,improving the inter-governmental fiscal decentralization system,improve the local government financial selfsufficiency rate;second,a balanced transfer payment system should be established to balance the allocation of financial resources between regions.Third,adhere to the idea of overall urban and rural development,and actively promote urbanization with county towns as an important carrier;fourth,adhere to the strategy of coordinated regional development and narrow the development gap between region...