The Impacts of Social Security Expenditure on Rural Residents' Medical Consumption in Hubei Province

Yan Mengyu,Yang Xi,T Zhu,M Anpo,A Sharifi

doi:10.1051/e3sconf/202127102024

Yan Mengyu, Yang Xi + Show 3 more

Open Access

https://doi.org/10.1051/e3sconf/202127102024

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Abstract

This paper analyzes the effect ofSocial Security Expenditure issued by Hubei Province on health services for the peasantry, and provides the evidences towards the integration process regarding medical insurances of the urban and the countryside.Based on the related economical data collected from countrysides area of Hubei province from 2003-2019, this paper utilizes the outcome of Cointegration and Granger Casual Relation Test to prove the relation from social security and employment fiscal expenditures and rural households’ annual per capita net income.Then the research adds the control variables to perform the examination on robustness. The study shows that the social security expenditure has a significant impact on rural residents' medical consumption.Considering that medical insurance is an important part of social security,we should ensure the steadiness of the further improvement achieved by system of health insurance,increase government financial investment and strengthen the construction of rural basic health and medical facilities.Hubei Province should improve the level of rural medical and health security, strengthen management, improve efficiency and improve mechanisms, and deepen the reform of the medical and health system.Therefore, the economical burden of rural residents brought by seeking medical treatment will be reduced in order to narrow the difference between the urban and the countryside which will further promote the equality in medical system.

Highlights

With the gradual advancement of medical and health system reform in China, from the new rural cooperative medical insurance system to the implementation of the basic medical insurance system for urban and rural residents, and to the implementation of "Healthy China" as a national strategy, basic health care has achieved remarkable results.Among these, the basic medical security system plays a key role in the construction of medical and health undertakings
Through the analysis of rural medical consumption expenditure in Hubei Province, the following research conclusions are mainly formed: Social security and employment fiscal expenditures (SEF) have significant negative effects with rural households’ per capita medical and health consumption expenditures (HCE), and there is a long-term equilibrium relationship between the two variable.It can be seen that the investment in social security fiscal expenditure has a significant impact on rural medical consumption expenditure
Rural medical consumption expenditure as an indicator can reflect to a large extent the level of rural medical and health services

Summary

Introduction

With the gradual advancement of medical and health system reform in China, from the new rural cooperative medical insurance system to the implementation of the basic medical insurance system for urban and rural residents, and to the implementation of "Healthy China" as a national strategy, basic health care has achieved remarkable results.Among these, the basic medical security system plays a key role in the construction of medical and health undertakings. Based on the above background, this article will start with the research on the medical consumption expenditure of rural residents in Hubei Province based on the data of the current situation in the rural areas of Hubei Province, and find the main influencing factors This will reduce the burden of medical care for rural residents and help further narrow down the urban-rural gap in the field of medical and health care. The factors that affect the per capita health care consumption expenditure of rural households (HCE) are selected as social security and employment fiscal expenditure (SEF), the number of rural junior high school graduates (RSG), rural households’ annual per capita net income (RNI), and the number of ruralmedical setting spots(RMS). The robustness test was carried out by adding control variables to verify the impact of rural medical service supply on residents' medical consumption expenditure

Empirical results and analysis

Robustness test

Findings

Conclusion