文献类型：期刊文献

英文题名：Private Healthcare Expenditure in China: A Regional Comparative Analysis

作者：Yang, Shangguang[1];Wang, Danyang[2];Xu, Lu[1];Wang, Chunlan[3];Yang, Xi[4];Lo, Kevin[5]

机构：[1]East China Univ Sci & Technol, Econ Dev Inst, Shanghai 200237, Peoples R China;[2]East China Univ Sci & Technol, Sch Business, Shanghai 200237, Peoples R China;[3]East China Normal Univ, Chinese Modern City Res Ctr, Sch Social Dev, Shanghai 200062, Peoples R China;[4]Hong Kong Baptist Univ, David C Lam Inst East West Studies, Hong Kong 999077, Peoples R China;[5]Hong Kong Baptist Univ, Dept Geog, Hong Kong 999077, Peoples R China

年份：2021

卷号：9

期号：10

外文期刊名：HEALTHCARE

收录：;WOS:【SSCI(收录号:WOS:000716907000001)，SCI-EXPANDED(收录号:WOS:000716907000001)】；

基金：This work was supported by the General Program of National Natural Science Foundation of China [grant number: 71874054]; Innovation Program of Shanghai Municipal Education Commission [grant number: 2017-01-07-00-02-E00008]; Key Project of Shanghai Soft Science Foundation [grant number: 19692109100].

语种：英文

外文关键词：private healthcare expenditures; regional differences; influencing factors; China

摘要：Private (out-of-pocket) healthcare expenditure (PHCE) is a complex phenomenon that is shaped by many different factors. In this paper, we analyzed the influencing factors of PHCE in China, with a specific focus on regional differences. We found that old-age dependency ratio, income, and education have significant impacts on PHCE in all regions, whereas public HCE, number of beds in medical institutions, and economic development levels have significant impacts only in some regions. The results indicate that the government should pay attention to regional inequality and implement targeted adjustments for improving the health service system. In particular, we recommend: (1) monitoring regional inequality in PHCE and other healthcare issues to unmask geographical differences in healthcare interventions; (2) adopting regional-specific policy measures-the government should divert some resources from eastern to western and central regions to increasing the support for public health undertakings and improve the quality of the local health services while providing matching medical resources by targeting the needs of the residents; (3) paying more attention to the healthcare demand of the elderly population; and (4) improving the education level of residents to improve public health and avoid high PHCE.