经济评论
經濟評論
경제평론
Economic Review
2010年
4期
146~153
,共null页
医疗需求 医疗利用数量 就医机构选择
醫療需求 醫療利用數量 就醫機構選擇
의료수구 의료이용수량 취의궤구선택
Health Care Demand; Amount of Health Care Utilization; Choice of Health Care Institutions
当前中国医疗体系面临的一个重要问题是部分患者的医疗需要难以转化为医疗需求,解决这个问题不仅需要对医疗供给方进行调整和改革,而且还需要对医疗需求方进行有效的干预。只有对微观个体医疗需求行为进行深入的研究,医疗政策才能对需求方实施准确而有效的干预。国外关于个体医疗需求行为的理论和实证研究非常丰富,这些研究大多以消费者理论和人力资本理论为基础建立个体医疗需求模型,并且应用各种微观计量经济学方法来识别影响个体医疗需求行为的因素。本文从理论研究框架、实证研究方法以及医疗需求的影响因素三个角度对这些文献进行归纳和总结,在综述以往研究成果的基础上,还提出了在中国政策背景下个体医疗需求行为研究的可能方向。
噹前中國醫療體繫麵臨的一箇重要問題是部分患者的醫療需要難以轉化為醫療需求,解決這箇問題不僅需要對醫療供給方進行調整和改革,而且還需要對醫療需求方進行有效的榦預。隻有對微觀箇體醫療需求行為進行深入的研究,醫療政策纔能對需求方實施準確而有效的榦預。國外關于箇體醫療需求行為的理論和實證研究非常豐富,這些研究大多以消費者理論和人力資本理論為基礎建立箇體醫療需求模型,併且應用各種微觀計量經濟學方法來識彆影響箇體醫療需求行為的因素。本文從理論研究框架、實證研究方法以及醫療需求的影響因素三箇角度對這些文獻進行歸納和總結,在綜述以往研究成果的基礎上,還提齣瞭在中國政策揹景下箇體醫療需求行為研究的可能方嚮。
당전중국의료체계면림적일개중요문제시부분환자적의료수요난이전화위의료수구,해결저개문제불부수요대의료공급방진행조정화개혁,이차환수요대의료수구방진행유효적간예。지유대미관개체의료수구행위진행심입적연구,의료정책재능대수구방실시준학이유효적간예。국외관우개체의료수구행위적이론화실증연구비상봉부,저사연구대다이소비자이론화인력자본이론위기출건립개체의료수구모형,병차응용각충미관계량경제학방법래식별영향개체의료수구행위적인소。본문종이론연구광가、실증연구방법이급의료수구적영향인소삼개각도대저사문헌진행귀납화총결,재종술이왕연구성과적기출상,환제출료재중국정책배경하개체의료수구행위연구적가능방향。
Current heahh care system in China faces a critical issue that the health care needs of certain patients are hard to turn to demands. In order to deal with this problem, we need not only adjust and reform medical care providers, but also help the medical care users through government interventions. Only through an in - depth analysis of individual medical care demand behaviors can we produce appropriate medial policies to effectively intervene the demands of medical care users. There have been a large number of theoretical and empirical studies on individuals' health care demand behavior in foreign countries, which establish individual health care demand model based on consumer theory and human capital theory, and identify the influencing factors by adopting various micro econometrics methods. This paper summarizes existing literature from three aspects: theoretical framework, empirical approach and influencing factors. On the basis of our literature review, we also propose future research directions for individual health care demand behavior in China' s context.