我国居民收入对医疗消费支出的影响研究  

Influence of income on resident medical consumption expenditure in China

作　　者：徐伟[1] 陈慧美[1] 

机构地区：[1]中国药科大学国际医药商学院,江苏南京211198

出　　处：《中国卫生政策研究》2013年第6期52-57,共6页Chinese Journal of Health Policy

基　　金：国家自然科学基金面上项目(71273278);教育部人文社会科学研究规划基金项目(11YJA790173)

摘　　要：目的:通过分析居民收入水平对医疗消费支出的影响,为预测医疗消费需求变化趋势,完善社会保障制度提供参考借鉴。方法:采用1995—2011年我国29省城镇和农村居民的收入和医疗消费支出数据,运用面板数据回归和协整分析对城镇居民和农村居民分别构建以收入为自变量,医疗消费支出为因变量的回归模型,得到收入与医疗消费支出的变动关系。结果:我国居民收入水平对医疗消费支出有较为显著的影响,城镇居民收入每提高1%,医疗保健支出增长1.26%,医疗消费支出增长1.53%;而农村居民收入每提高1%,医疗保健支出增长1.54%,医疗消费支出增长1.93%。结论:我国居民医疗消费支出随收入水平提高而增长,农村居民医疗消费的增长对收入更为敏感,建议完善医保制度,建立与收入挂钩的动态筹资机制,并合理配置医疗卫生资源,适当向农村倾斜,以应对城乡居民医疗消费的增长。Objective： By analyzing the influence of the income on medical consumption expenditure, a reference for improving the social seeurity system is provided. Methods ： This study uses panel data of income and medical consumption about urban and rural residents in 29 provinces from 1995 to 2011, to construct regression models for urban and rural residents by panel data regression and co-integration analysis, which take income as the independent variable and medical consumption as the dependent variable. Results： Income levels have a significant impact on medical consumption： while the income of urban residents increases per 1%, their medical care expenditure increases 1.26%, and medical consumption increases 1.53% ; While the income of rural residents increases per 1%, their medical care expenditure increases 1.54%, and medical consumption expenditure increases 1.93%. Conclusion：Medical consumption expenditure increases in pace with income levels. The growth of medical consumption expenditure of rural residents is more sensitive to income than urban residents. We should improve the medical insurance system with the establishment of dynamic income-related funding mechanisms and rational allocation of health resources to appropriate to rural areas, in order to cope with the growth in medical consumption expenditure of urban and rural residents.

关 键 词：收入 医疗消费 影响 

分 类 号：R197.322[医药卫生—卫生事业管理]