CAJ | 학술논문

本文采用二项 Logistic 回归模型，利用2011年“中国健康与养老追踪调查”( CHALRS)数据，对中老年就诊患者选择公立或民营医院的影响因素进行分析。研究发现自评健康、就诊咨询、使用基本医疗保险报销等因素影响显著。健康存量越小、有就诊咨询需求、使用基本医疗保险报销的患者选择公立医院的概率相对较高。说明中老年就诊患者在处理疾病风险时更信赖公立医院，医保定点医院主要集中在公立医院，进一步推动了患者选择公立医院就诊。建议加强对老年性疾病的预防和控制；提高医院的咨询服务水平；加强对民营医院的扶持，放开民营医院的价格限制，调整医保定点医院的准入机制；加强行业监管和信息公开。
본문채용이항 Logistic 회귀모형，이용2011년“중국건강여양로추종조사”( CHALRS)수거，대중노년취진환자선택공립혹민영의원적영향인소진행분석。연구발현자평건강、취진자순、사용기본의료보험보소등인소영향현저。건강존량월소、유취진자순수구、사용기본의료보험보소적환자선택공립의원적개솔상대교고。설명중노년취진환자재처리질병풍험시경신뢰공립의원，의보정점의원주요집중재공립의원，진일보추동료환자선택공립의원취진。건의가강대노년성질병적예방화공제；제고의원적자순복무수평；가강대민영의원적부지，방개민영의원적개격한제，조정의보정점의원적준입궤제；가강행업감관화신식공개。
This paper uses the binomial logistic regression model and the 2011 China Health and Retirement Longitudinal Study ( CHALRS) to analyze the influencing factors on the choice of public or private hospitals by mid-dle-aged and elderly patients. The study finds that rural residents are significantly influenced by the self-evaluation of health, on-demand clinic consultation, and the use of basic medical insurance systems. There is a higher probability that patients that are not as healthy and that require clinical consultation or the use of the basic medical insurance sys-tem will choose public hospitals. The study concludes that elderly patients have greater trust in public hospitals when they seek treatment for disease risks. Moreover, the fixed points of medical insurance are concentrated in public hos-pitals, thereby prompting patients to choose public hospitals. It is suggested that the prevention and control of senile diseases be strengthened, the level of hospital consulting services be improved, and the access mechanisms of medi-cal insurance fixed point hospitals be adjusted.