Medical Values from the Perspective of Cultural Tradition and Policy Intervention: Based on Chinese Theories and Empirical Research

Volume 5, Issue 1, February 2021     |     PP. 1-30      |     PDF (343 K)    |     Pub. Date: April 18, 2021
DOI: 10.54647/pmh33130    98 Downloads     5417 Views  

Author(s)

Huan Liu, School of Public Administration, Zhejiang University of Finance & Economics, Hang Zhou, China

Abstract
Background With the development of the medical security system, the problem of "difficult and expensive to see a doctor" has been greatly improved for Chinese residents. But at the same time, the Chinese people's view of value medical care has also taken on a great change, and then transferred to medical treatment behaviors and medical decision-making. In order to reveal the evolution mechanism of medical behavior and decision-making, this paper combines the concept of "taboo disease and taboo medical treatment" under traditional culture environment with the evolution of the medical concept under the protection of policies, and explores the impact of the two on transforming the concept of value medical treatment, establishing more scientific disease diagnosis and health concept.
Methods Based on the data of the Chinese Health Service Survey and the CLHLS survey database, this paper empirically tests the impact of traditional culture environment and policy protection on value medical care from the perspective of disease occurrence and the laws of life course.
Results The results show that cultural tradition environments have a greater impact on the medical values of urban residents than that of rural residents, and the income level has significantly increased the level of medical expenditures one month before the end of life. After the instrumental variables are processed, the income level has no significant effect on the death probability of the elderly in medical institutions. Borne by the spouse or children living together or subsidized by the state or collective, the elderly who have no money to pay for the medical consumption will have a significantly lower medical expenses in the month before death.
Conclusions The article explores the importance of constructing effective health management policies and medical consumption guidance from two aspects of health value concept and value medical treatment, in order to promote people to form better medical consumption habits and health management concepts .

Keywords
Disease; Life Course; Traditional Culture Environment; Policy Protection; Value Medicine

Cite this paper
Huan Liu, Medical Values from the Perspective of Cultural Tradition and Policy Intervention: Based on Chinese Theories and Empirical Research , SCIREA Journal of Health. Volume 5, Issue 1, February 2021 | PP. 1-30. 10.54647/pmh33130

References

[ 1 ] Porter,M. E.;Teisberg,E. O.Redefining Health Care: Creating Value-based Competition on Results.Boston：Harvard Business Press.2006.
[ 2 ] Porter, M. E.What Is Value in Health Care?.New Engl J Med.2010, 363(26),2477-2481.
[ 3 ] Wang,D.Reform and innovation of medical insurance payment system based on value medical treatment.Chinese Soc Secy Rev.2019,3（3）,92-103.
[ 4 ] Pan, D. Medical Concepts, Social Cognition and Cultural Beliefs in Drug Gifts.J Guangxi Univ for Nationalities(Phi Soc Sci Edit).2017,39(1),11-19.
[ 5 ] Long ,W. The medical elite of the Republic of China "Reinventing the patient".Soc Sci Front.2013,（6）,84-91.
[ 6 ] Harold ,B.China and Modern Medicine: A Study in Medical Missionary Development.London: United Council for Missionary Education.1921.
[ 7 ] Delbanco ,T. L.Enriching the Doctor-patient Relationship by Inviting the Patients Perspective.Ann Intern Med.1992,116（5）,414-418.
[ 8 ] Pan ,DW. Patients, Families and Doctors in "Twenty-Four Filial Pieties"-A Medical Sociological Survey of Disease-Related Behaviors.Open Times.2015,（1）,109-117.
[ 9 ] Porter, R.Patients and Practitioners：Lay Perceptions of Medicine in Pre-Industrial Society.Cambridge University Press.2003.
[ 10 ] Segall, A.The Sick Role Concept: Understanding Illness Behavior.J Health Soc Behav.1976,17(2),162-169.
[ 11 ] Liu, Z.Y. "Two Solutions to Divine Medicine": Baima Tibetan's Folk Medical Concept and Practice.J Southwest Minzu Univ(Hum Soc Sci).2009,29（10）,14-21.
[ 12 ] World Health Organization. Primary Health Care.Geneva:World Health Organization.1978.
[ 13 ] Baer ,H. A . PERSPECTIVES: On the Political Economy of Health.Med Anthropol Q.1982,14(1),1-17.
[ 14 ] Lin ,K. M . Social Origins of Distress and Disease: Depression, Neurasthenia, and Pain in Modern China. Psychosomatics.1987,28(8),445-446.
[ 15 ] Woolhandler ,S. ;Himmelstein,D,U. Ideology in medical science: Class in the clinic.Soc Sci Med .1989,28(11),1205-1209.
[ 16 ] Singer, M . Anthropology and addiction: an historical review. Addiction.2012,107(10),1747-1755.
[ 17 ] Frankenberg, R.Global Health Policy, Local Realities: The Fallacy of the Level Playing Field.Med Anthropol Q.2001,15(2),269-273.
[ 18 ] Liu ,F.S.We need a revolution in medical concepts-thinking about cultural medicine and species medicine.Med Philos.2008,29（6）,7-11.
[ 19 ] Häkkinen, U ; Rosenqvist, G ;Aro, S. Economic depression and the use of physician services in Finland. Health Econ.1996,5(5),421-434.
[ 20 ] Cameron ,A .C;Trivedi, P. K ; Piggott, F. M . A Microeconometric Model of the Demand for Health Care and Health Insurance in Australia. Rev Econ Stud.1988,55(1),85-106.
[ 21 ] Gerdtham ,U. G . Equity in Health Care Utilization: Further Tests Based on Hurdle Models and Swedish Micro Data. Health Econ.1997, 6(3),303-319.
[ 22 ] Deb ,P .; Trivedi, P. K . The structure of demand for health care: latent class versus two-part models. J Health Econ.2002,21(4),601-625.
[ 23 ] Akin, J. S; Griffin, C. C.; Popkin, G. B. M . The Demand for Primary Health Care Services in the Bicol Region of the Philippines. Econ Dev Cult Change.1986,34(4),755-782.
[ 24 ] Gertler, P. J ; Locay, L.; Sanderson, W. C . Are User Fees Regressive ? The Welfare Implications of Health Care Financing Proposals in Peru.J Econom.1987,36(Supp),67-88.
[ 25 ] Ching ,P . User fees, demand for children's health care and access across income groups: The Philippine case. Soc Sci Med.1995,41(1),37-46.
[ 26 ] Gupta, S. ; Verhoeven, M.; Tiongson, E. R .The effectiveness of government spending on education and health care in developing and transition economies. Eur J Polit Econ. 2002,18(4),717-737.
[ 27 ] Ulrich ,P .V . An Econometric Model of the Two-Part Decision making Process in the Demand for Health Care. J Hum Resour.1995,30(2),339-361.
[ 28 ] World Bank."Reviewing the Challenges Facing China's Rural Health Work", World Bank "China Rural Health Briefing" series.2005.
[ 29 ] Van Doorslaer, E. ; Wagstaff ,A.; Bleichrodt, H.;et al. Income-related inequalities in health: some international comparisons.J Health Econ.1997,16(1),93-112.
[ 30 ] Judge ,K. ; Mulligan, J. A. ; Benzeval, M . The relationship between income inequality and population health. Soc Sci Med.1998,47(7),983-985.
[ 31 ] Wagstaff ,A. ; Lindelow, M . Can insurance increase financial risk?: The curious case of health insurance in China. J Health Econ.2008, 27(4),1-16.
[ 32 ] Wagstaff, A.Poverty and Health Sector Inequalities.Bull World Health Organ.2002,(2),97-105.
[ 33 ] Dollar, D;Kraay, A.Growth is Good for the Poor.J Econ Growth.2002,（3）,195-225.
[ 34 ] Feng, J.;Yu, Y.Y. Income disparity and health in rural China.Econ Res J.2007,（1）,79-88.
[ 35 ] Xie ,E. Medical Insurance and Anti-Poverty Urban and Rural: 1989-2006.J Financ Econ.2008,34（12）,68-83.
[ 36 ] Alleyne ,G. A. O. ; Casas, J. A. ; Castillo-Salgado, C . Equality, Equity: Why Bother?. Bull World Health Organ.2000,44（4）,76.
[ 37 ] Evans, T. M;Whitehead, F.;Diderichsen, A.Challenging Inequities in Health:From Ethics to Action.Oxford: Oxford University Press.2001.
[ 38 ] Xie, E.Research on income-related health and medical service use inequality.Econ Res J.2009,（2）,92-105.
[ 39 ] Blakely, T. A . What is the lag time between income inequality and health status?. J Epidemiol Commun H.2000,54(4),318-319.
[ 40 ] Subramanian, S. V.; Ichiro, K.Income Inequality and Health:What Have We Learned So Far?. Epidemiol Rev .2004,26,78-91.
[ 41 ] Mellor, J. M; Milyo, J . Income Inequality and Health Status in the United States: Evidence from the Current Population Survey. J Hum Resour.2002, 37(3),510-539.
[ 42 ] Krugman, P.The Spiral of Inequality，Mother Jones(November December).1996,44-49.
[ 43 ] Deaton, A.Health, Inequality,and Economic Development. J Econ Lit.2003,41(1),113-158.
[ 44 ] Wilkinson, R. G.Unhealthy Societies: The Afflictions of Inequality. Biochem.1998,10(8),1335-1339.
[ 45 ] Kawachi, I. ; Kennedy, B. P . Income Inequality and Health: Pathways and Mechanisms. Health Serv Res.1999,34(1 Pt 2),215-227.
[ 46 ] Grand, J. L . Equity,health,and health care. Soc Justice Res.1987,1(3),257-274.
[ 47 ] Treasury, T. Poverty, Income Inequality and Health. Treasury Working Paper.2001.
[ 48 ] Braveman, P.Challenging Inequities in Health: From Ethics to Action. Bull World Health Organ.2002,80(2),1-15.
[ 49 ] Tang, J.; Li ,J.Holistic Health Concept and Health Management from the Perspective of Health Sociology.Soc Sci in China.2019,(8),130-148.
[ 50 ] Tang,J.Lifestyle and overall health concept [J / OL]. J Harbin Institute Techno (Soc Sci Edit).2020,(01),38-44 [2020-03-03].https://doi.org/10.16822/j.cnki.hitskb.2020.01.006.
[ 51 ] Jin ,C.L.;Wang, H.Y.;Sun, H.;et al. The concept, practice and realization path of value medicine.Health Econ Res.2019,36(02),6-8.
[ 52 ] Ma,C.;Yu ,Q.W.;Song, Z.; et al.Long-term Nursing Insurance, Medical Expense Control and Value Medical.China Indus Econ.2019,(12),42-59.
[ 53 ] Gu, X.F.; Liu ,X.Q.From quantity to value: how medical insurance payment drives the integration of medical and health systems.Health Econ Res.2020,37(01),7-10.