南方经济
南方經濟
남방경제
South China journal of Economy
2013年
2期
56~66
,共null页
新型农村合作医疗 就医地点选择 农村居民 多选项Logit模型
新型農村閤作醫療 就醫地點選擇 農村居民 多選項Logit模型
신형농촌합작의료 취의지점선택 농촌거민 다선항Logit모형
NCMS; Health Care Provider Choice; Rural People; Multinominal Logit Model
为引导参合农民更多到基层医疗机构就医,新农合试点后曾多次降低村诊所和乡镇医院的起付线和提高报销比例。然而,政策的这种调整达到了预期的效果吗?它对农村居民的就医地点选择起到怎样的作用?利用中国营养和健康调查(CHNS)2004和2006年度的农户数据,研究通过一个多选项Logit模型对此进行了验证和回答。研究发现,在新农合开展较早的2004年,参合农民病后更可能选择到附近的诊所就医;到2006年,参合对农民病后是否选择去看医生已起不到显著影响作用,但提高了他们病后进行自我治疗的可能性。
為引導參閤農民更多到基層醫療機構就醫,新農閤試點後曾多次降低村診所和鄉鎮醫院的起付線和提高報銷比例。然而,政策的這種調整達到瞭預期的效果嗎?它對農村居民的就醫地點選擇起到怎樣的作用?利用中國營養和健康調查(CHNS)2004和2006年度的農戶數據,研究通過一箇多選項Logit模型對此進行瞭驗證和迴答。研究髮現,在新農閤開展較早的2004年,參閤農民病後更可能選擇到附近的診所就醫;到2006年,參閤對農民病後是否選擇去看醫生已起不到顯著影響作用,但提高瞭他們病後進行自我治療的可能性。
위인도삼합농민경다도기층의료궤구취의,신농합시점후증다차강저촌진소화향진의원적기부선화제고보소비례。연이,정책적저충조정체도료예기적효과마?타대농촌거민적취의지점선택기도즘양적작용?이용중국영양화건강조사(CHNS)2004화2006년도적농호수거,연구통과일개다선항Logit모형대차진행료험증화회답。연구발현,재신농합개전교조적2004년,삼합농민병후경가능선택도부근적진소취의;도2006년,삼합대농민병후시부선택거간의생이기불도현저영향작용,단제고료타문병후진행자아치료적가능성。
For attracting more rural patients to use clinics or township hospitals for medical care, New Cooperative Medical System ( NCMS ) had lowered its up - pay - line and increased medical compensation rate when rural people chose these institutions for medical treatment. Therefore, NCMS could affect rural residents' health care provider choices in theory. Using data from CHNS in 2004 and 2006, this paper had empirically validated this effect by a multinomial logit model, and regression outcome showed: in 2004, rural people who had NCMS insurance were more likely to choose village clinics or private clinics for health care. In 2006, this effect became unsignificicant, and patitents who had NCMS insurance had a great propensity to choose self - therapy.