CAJ | 학술논문

以福建地区农户为研究对象，基于供给者诱导需求角度，采用Probit型实证分析方法，分析新型农村合作医疗制度对农户高科技医疗(如CT、MRI)服务利用行为的影响。结果表明：控制新型农村合作医疗制度给付结构因素之后，病床密度与医生密度会引发医疗服务供给者的诱导需求行为，使患病农户高科技医疗服务利用的概率显著增加；按病种付费或总额预算制的医疗支付方式改革则显著降低患病农户的高科技医疗利用概率。因此，新农合制度的下一步工作重点必须是合理引导和有效控制高科技医疗服务利用，从而使新农合制度真正发挥其应有的政策功能。
이복건지구농호위연구대상，기우공급자유도수구각도，채용Probit형실증분석방법，분석신형농촌합작의료제도대농호고과기의료(여CT、MRI)복무이용행위적영향。결과표명：공제신형농촌합작의료제도급부결구인소지후，병상밀도여의생밀도회인발의료복무공급자적유도수구행위，사환병농호고과기의료복무이용적개솔현저증가；안병충부비혹총액예산제적의료지부방식개혁칙현저강저환병농호적고과기의료이용개솔。인차，신농합제도적하일보공작중점필수시합리인도화유효공제고과기의료복무이용，종이사신농합제도진정발휘기응유적정책공능。
Based on farmers’ field survey in Fujian province, this study, by applying Probit model from the perspective of supplier-induced demand, examines the effects of the new rural cooperative medical system on farmers’ utilization decisions of high-tech diagnosis medical services (such as CT and MRI). The findings show that, after the control of some factors related to NRCMS’ reimbursement program, the density of beds or physicians could bring about the behavior of supplier-induced demand of physician services and hence an significant increase in the probability of medical high-technology services utilization, and that the NRCMS’ payment approach, such as global budgeting or case payment, would cut down significantly the probability of high-tech medical services utilization to some extent. So, this suggests that the key of the next step is to reasonably guide and control the utilization of medical high-tech services in order to keep NRCMS’ sustainable development which is eventually beneficial to farmers.