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eISSN: 2083-5906
ISSN: 1230-1485
ISSN: 1230-1485
ORIGINAL RESEARCH
Study on the Influencing Factors of Health
Expenditure Growth in China
from an Environmental Perspective
1
School of Hospital Economics and Management, Anhui University of Chinese Medicine, Hefei, China
2
Key Laboratory of Data Science and Innovative Development of Chinese Medicine
in Anhui Province Philosophy and Social, Hefei, China
3
Wuxi Second People’s Hospital, Wuxi, China
Submission date: 2024-11-03
Final revision date: 2025-02-20
Acceptance date: 2025-03-25
Online publication date: 2025-05-20
Corresponding author
Qunshan Tao
School of Hospital Economics and Management, Anhui University of Chinese Medicine, 230012, hefei, China
School of Hospital Economics and Management, Anhui University of Chinese Medicine, 230012, hefei, China
KEYWORDS
TOPICS
ABSTRACT
Excessive growth in health expenditure has led to a continuous increase in the burden of medical
care for residents, and how to deeply analyze the key factors affecting the growth of health expenditure
has become a topic of public concern. We aim to analyze the causality and pathways of complex factors
on health expenditure in different environments. We screened and analyzed the key factors affecting
China’s health expenditure during the period of 2012-2021 through structural equation modeling and
explored the path coefficients between latent and observed variables by dividing the key factors into
three dimensions: the ecological environment, the social environment, and the medical environment
using exploratory factor analysis in order to quantify their degree of influence. The results show that:
(1) the social environment has a positive effect on the growth of China’s health expenditures, while
the medical environment and the ecological environment have a negative effect on China’s health
expenditures; (2) the medical environment has the greatest degree of influence on China’s health
expenditures, followed by the social environment and the ecological environment; and (3) among the
three dimensions, firstly, the social environment and the medical environment have the highest degree
of correlation, then the ecological environment and the social environment, and lastly, the medical
environment and the ecological environment. Overall, China has improved the medical environment
by increasing support for the health sector while mitigating the continued growth of health expenditure.
This implies that the synergistic effects of complex factors in different environments should be taken
into account when analyzing the factors affecting the growth of health expenditure to improve the health
environment for the population and realize the sustainable development of China’s health sector.
CONFLICT OF INTEREST
The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
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