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Differences in urban and rural medical expenditure: empirical data from American families

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Document pages: 9 pages

Abstract: The purpose is to estimate the urban-rural differences in outpatient, hospital inpatient, hospital emergency room services, drugs and total service expenditure. method. This cross-sectional study used data from the 2010 panel survey of health expenditure. The total sample size of the study was 22772. Estimate the weighted frequency, mean, or percentage to illustrate the distribution of each variable. Then fit the five two-part models to determine the possibility of non-zero expenditure and the impact of housing in rural and urban areas on our expenditure in the five expenditure categories. Quantile regression was estimated to further explore the relationship between residence and each quantile of non-zero expenditure. Results of two studiespart model suggest that rural populations spent more on medications, while urban populations spent more on emergency care. However, no rural-urban difference was found in total health expenditures. The results of quantile regressions suggest that the highest users (at the upper quantiles) of medication and total expenditure experienced the strongest positive effects of living in rural areas. Conclusions. Total health expenditures do not seem to vary significantly across urban and rural areas. However, rurality does have important effects on those who make the most use of outpatient care and prescription medications. Reviewing total health expenditures for urban and rural populations is not enough. Policymakers should monitor the effects of geographic differences, especially in the highest expenditure quantiles, for specific types of health expenditures. Differences in the influence of rurality across this distribution of health expenditures may provide important guidance for interventions.

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