A Statistical Study Of Medical Consumption For Urban And Rural Middle & Aged In China

Since the founding of PRC, the undertaking of medical care has developed rapidly and the government has been dedicated to construct a service network. Accomplishments have been made in improving our People’s health, which has been regarded as a model among developing Countries by WHO. Recently, 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.By using CHARLS 2011 survey data, this paper try to do research on China individual’s behavior with the Grossman health and capital theory. Two models will be established:medical decision model and medical expense model. Logistic model and Generalized Additive Model will be applied respectively. These two models help us understand how individual and social economic characters affect China rural medical demand.The description of the micro data shows:The elderly subjective evaluation to the physical health is becoming worse with age growing. Recent hospitalization proportion of respondents in a year of all age group accounts for a small proportion. But at ordinary times the proportion of treatment for chronic at all ages is about 40 percent. For the recent medical records of monthly consumption, Average consumption in every age group is several hundred yuan. For recent hospitalization expense record of the respondents in a year, the consumption of all ages are range from several thousand to more than ten thousand. Because of the health investment demand is relatively larger, the cost of 45 to 55 age group hospitalization was also significantly higher than other age groupsThe model results show that:In medical decision-making behavior, subjective and objective condition of illness have a significant impact to medical treatment behavior. Mainly for sleep in recent, hospital medical consumption of the year, monthly self treatment cost and the subjective health evaluation. Gender and age marital status, level of education of medical treatment insurance status personal monthly income for the influence of the medical treatment was not significant. In the act of medical expenses, personal subjective health evaluation of medical insurance status personal assets monthly self treatment of consumption has a significant impact on health spending.. Age gender marriage status, level of education personal monthly income is not significant influence on medical spending. In medical expenditure model, analyses the monetary effects of insurance and personal assets and the nonparametric relationship between medical consumption money illusion to a certain extent, cause the behavior of the elderly health irrational assets respectively from personal income effect health effect as well as the increase of the supplementary commercial insurance affect health spending from multiple perspectives.At last, under the thorough analysis on individual medical consuming behavior in China, this paper tries to give some suggestions.