The Research Of The Regional Health Welfare Gap By The Mismatch Between The Population And The Public Health Expenditures

Since the China’s implementation of public decentralization in the year 1994, local public expenditure is charged by the local government and it resulted out the situation that different governments have the different level of public expenditure because of the different economic development. In the view of the structure of public expenditure, the public expenditure in the economy is far greater than in the area of people’s livelihood expenditure. Among them, the Chinese public health input is far lower than these developed countries, and the level of health and welfare is regional different. According to the second period comprehensive survey of the social conditions in China(CGSS), it showed that the "medical treatment is difficult and expensive" has been always in the forefront of public concern. Public health expenditure continues to be put on the agenda of the government. The 18 th Chinese communist party pointed out that "strengthen the examination and supervision of the government budget ", the Third Plenary Session of the eighteen reemphasized "to promote the equalization of basic public health service". The support of the government to some extent improve the residents’ health welfare level, but a comprehensive upgrade process on the health needs of the residents the continuous rise in the level of economic development, and gradually become one of the biggest challenges in our country at the present stage of comprehensive development faces. China is going to face the approaching, peak of population aging Medicare payments imbalance, medical treatment is difficult, expensive situation is still grim. Based on this starting point, this paper carries on the analysis to the level of health and welfare area, put forward the policy recommendations in order to.The mismatch of resident level of health welfare between regions based on space for the performance of area total population share and the area of public health expenditure in total expenditure does not match the share between, so the study of population and public health expenditure is not matching is a new perspective to examine the level of health and welfare gap between regions. This paper use during 1997 ~ 2013 in 31 regions of the panel data, structure does not match the index, describes the present stage of public health expenditure in China the absolute scale, spatial distribution and does not match the characteristics of. In the empirical analysis, will not match as explained variables, analysis of population aging, the child dependency ratio, degree of openness, two structure in urban and rural areas, regional policy tilt and economic development level variables on the gap of residents health welfare level among regions.Through this study found that, at the present stage of China’s public health spending showing coverage but covers the basic characteristics of deep enough, but the population and public health expenditure does not match with the level of economic development and the increase of public health expenditure showed a trend of decline, the eastern region is not matching degree maximum, narrowing the gap between the level of health and welfare area residents room. In this process, the aging of population, the level of economic development is not matched to expand to play a role in promoting, and regional policy tilt, openness, dual structure between the two block the expansion mismatch.