Research On The Differences Of Total Health Expenditure Between Hebei And Its Neighbors

Objective The purpose of this study is to understand the differences of financing leveland financing structure of total health expenditure between Hebei province and itssurroundings,explore the influence factors of the total health expenditure at the provinciallevel, find problems in health financing and distribution in Hebei province, and putforward policy suggestions to perfect the health financing in Hebei province.Methods The relevant indicators of total health expenditure of Hebei province and itssurroundings are analyzed by descriptive statistical analysis.The provincial total healthexpenditure (source) as the dependent variable,the selected population, social economyand health three aspects of a total of12indicators as the independent variable,and thestatistical software SPSS13.0principal component regression analysis was carried out onthe total health expenditure.Results1The total health expenditure of Hebei Province is just lower than Shandongprovince and Henan Province,but the per capita health expenditure level is low,onlyhigher than Henan province.THE/GDP of Hebei Province less than Beijing Citygreatly,also below Shanxi Province and Henan Province.Health financing structure ofsocial health expenditure proportion is low, personal health spending cash ratio is higher.2The cost proportion of hospital and public health institutions in hebei province is in themedium level.Outpatient service agencies and public health institutions and medicalinsurance management cost ratio are located in the first and second respectively.Drugretail agency cost ratio is only higher than that of Inner Mongolia.3Effects of12indicators of the total health expenditure from high to low: GDP, the number oftreatment,Inpatient operation times,the number of medical workers,the number ofbeds,the total number of population at the end of the year,the number of hospital,Percapita disposable income of Urban Households,the per capita net income of ruralhouseholds,the consumption level of residents,the proportion of the population aged65and above,the proportion of urban population.Conclusion1GDP is the most important factors that affect the regional healthexpenditure.2Medical and health services utilization,health resources and the totalpopulation at the end of the year are important factors.3The living standards of residents,the population aged65and above and the urban population have some influence on theregional level of total health expenditure.4The overall level of health financing of Hebeiprovince is in the superior,but the per capita health expenditure level is low,the input ofhealth cause slightly behind the provincial economy.Health financing structure needsfurther improvement and optimization.The total health expenses mainly flow to thehospital, is not very unreasonable.