Analysis Of Medical Consumption Behavior In Rural China Based On Multilevel Model

Since1990s, many Chinese people became poor because of high medical expense. People found that it is difficult to see doctor in hospitals and the charge is beyond their paying ability. This has been the second major problem in China, while the "income problem" is the first one. In recent30years, many researchers analyzed this phenomenon focused on the individual level. But the individual behavior also affected by the macro society environments. So this paper based on multilevel model will deeply consider the family units'effects on the rural individual medical consuming behavior.By using CHNS2009survey data, this paper try to do research on China rural individual'behavior with the Grossman health and capital theory. Two models will be established:medical decision model and medical expense model. Multi-logistic model and Hierarchical Linear Model will be applied respectively. These two models help us understand how individual and region characters affect China rural medical demand. On the other hand, this paper also analyzes the medical consuming differences among individual categories.Individual and region characters both affect China rural medical consuming behavior. In the medical decision model:the degrees of disease, family size and area average family income have a positive effect on the behavior; the education degree, area medical price have a negative effect; age, gender, marriage status, insurance status, work or not, family average income and area medical staff number don't have a significant effect. In the medical consuming model:the degree of disease, male, non-agriculture job or no job, married, education degree and area medical price have a positive effect; female, agriculture job, single, family size and area family average income have a negative effect; age, insurance status, family average income and area medical staff number don't have a significant effect.At the same time, different people have a different medical consuming behavior. In the medical decision model, we not only find that people with different education and disease degree have different affecting factors, but also different affecting degree. The same thing happens in the medical consuming model. At last, under the thorough analysis on China rural area individual medical consuming behavior, this paper tries to give some suggestions.