Statistical Analysis Of Medical Consumption Behavior Of Urban And Rural Residents

Since the reform and opening up,with the rapid development of China's economy and the steady improvement of comprehensive national strength,the people's living standards have also been constantly improved.At the same time,people's demand for health care is also increasing.In recent years,China's total medical and health costs are rising,and various medical insurance systems have been constantly improved and popularized.In the report of the 19 th National Congress,the “Healthy China Strategy” was proposed.The report proposes to comprehensively establish a basic medical and health system with Chinese characteristics and improve the medical insurance system for urban and rural residents.As a typical "urban-rural dual structure",China's living environment,living standards and medical environment for urban and rural residents have great differences.Urban and rural residents also have some heterogeneity in medical consumption behavior.Therefore,when formulating relevant policies,it is necessary to distinguish between urban and rural residents.This paper divides the sample into urban residents' samples and rural residents according to the different places of residence,and makes a statistical analysis of the differences in medical consumption behavior between urban and rural residents.After reviewing relevant research on residents' medical consumption behaviors,it was found that most of the research focused on the micro-influence factors of individual characteristics,while ignoring the regional macro-level factors such as regional medical level and regional economic level.The research lacks certain specificity for the formulation of medical and health policies in different regions.Therefore,this paper takes the urban-rural differences as an entry point,using the latest data of “China Health and Nutrition Survey(CHNS)” and “Statistical Yearbook”,combining the micro and the macro aspects,using stratified data to conduct statistical research on the medical consumption status of urban and rural residents.Based on the theory of Grossman's health capital demand theory,this paper selects the main influencing factors affecting residents' medical consumption behavior,and then uses Heckman two-stage model to divide medical behavior into two parts: “medical decision behavior” and “medical expenditure behavior”.Then,based on the micro and macro stratified data,the medical decision-making behavior model and the medical expenditure behavior model are established,and then the hierarchical multivariate logistic regression model and the hierarchical linear model are respectively imported into the model.Combined with the model output results,this paper analyzes the main factors affecting the medical consumption behavior of urban and rural residents,and makes a comparative analysis of the differences in the medical consumption behavior of urban and rural residents.The results show that: in the urban medical decision model,youth,old age,chronic diseases,diseases is not serious,serious diseases,per thousand people health technicians and per thousand people medical and health institution beds have a significant impact on the medical treatment rate for urban residents.Variables such as gender,marital status,educational level,job,per capita family income,regional per capita disposable income and regional medical consumption levels have no significant impact on the medical treatment rate for urban residents.In the rural medical decision model,low level of education,chronic diseases,diseases is not serious,serious diseases,regional per capita disposable income and per thousand people health technicians have a significant impact on the medical treatment rate.Variables such as youth,old age,gender,marital status,high level of education,job,per capita family income,per thousand people medical institution beds and regional medical consumption levels have no significant impact on medical treatment rate.At the same time,for the medical expenditure behavior,in the urban medical expenditure model,marital status,job,diseases is not serious,serious diseases,regional medical consumption levels and regional per capita disposable income have a significant impact on medical expenditures.Variables such as youth,old age,gender,chronic diseases,educational level,per capita family income,per thousand people medical and health institution beds and per thousand people health technicians have no significant impact on medical expenditure.In the rural medical expenditure model,youth,job,chronic diseases,diseases is not serious,serious diseases,regional medical consumption levels have a significant impact on medical expenditures.Variables such as old age,gender,marital status,educational level,per capita family income,per thousand people medical and health institution beds,regional per capita disposable income and per thousand people health technicians have no significant impact on medical expenditure.Finally,based on the conclusions of this paper,we provide effective reference suggestions for the state to formulate corresponding policies for the medical and health conditions of urban and rural residents.