What types of government health investment methods are beneficial to equity in urban and rural health?
Drawing on Grossman's health demand theory,this paper utilizes provincial panel data from 2007 to 2020 to study the impact of government health investment through both"supply-side supplementation"and"demand-side supplementation",as well as their combination,on urban-rural health equity.This addresses the question of what type of health investment promotes urban-rural health equity.The findings are as follows:First,overall,during the study period,either mode of investment alone,whether supply-side or demand-side,negatively affects urban-rural health equity,requiring a certain degree of coordination between the two to be beneficial.Second,specifically,supply-side supplementation reduces equity in health services and health investments,while demand-side supplementation improves health status equity but reduces health investment equity.Third,in terms of their combination,a ratio of supply-side to demand-side supplementation lower than 0.6586 significantly enhances urban-rural health equity.Fourth,the degree to which government investment methods affect urban-rural health equity is contingent on specific conditions:In regions with higher per capita GDP or where the healthcare market is characterized by low supply and high demand,the adverse impact of supply-side supplementation on urban-rural health equity diminishes,while the adverse impact of demand-side supplementation intensifies.Based on these findings,policy recommendations are proposed to transform and optimize government health investments to promote urban-rural health equity.
government health investmenturban-rural health equitysupply-side supplemen-tationdemand-side supplementation