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目的:卫生消费是消费结构的重要组成部分,明确收入变化对卫生费用的影响及作用机理是本研究的研究主旨。方法:采用理论与实证相结合、定性与定量相结合的方法探讨城乡居民收入变化对卫生费用的影响及作用机理。结果:基于2000—2013年的统计数据分析城乡居民收入变化与卫生费用及卫生保健支出的变化关系,分析结果发现城乡居民卫生费用变化与收入变化轨迹并非一致,且城乡居民卫生费用变化波动规律并非相同。结论:由于我国二元经济结构特征的存在,城镇和农村居民在卫生消费方面有显著差异,收入水平的提高并非是决定卫生费用上涨的单一因素。
Objective: Health spending is an important part of the consumption structure. It is the research purpose of this study to clarify the impact of income change on health expenditure and its mechanism of action. Methods: The combination of theory and evidence, qualitative and quantitative methods to explore the impact of urban-rural income changes on health costs and the mechanism of action. Results: Based on the statistical data from 2000 to 2013, we analyzed the relationship between income changes of urban and rural residents and changes of health expenditure and health care expenditure. The results showed that the change of health expenditure between urban and rural residents was not consistent with the change of income, and the fluctuations of urban and rural residents’ the same. Conclusion: Due to the existence of the dual economic structure in our country, there are significant differences in health expenditure between urban and rural residents. The increase of income level is not the single factor that determines the increase of health expenditure.