CAJ | 학술논문

基于甘肃、河南、广东三省18个县的实地调查数据,本文分别采用多项Logit模型（MNL）、条件多项Logit模型（CLM）和嵌套多项Logit模型（NLM）对中国农村患者初次就诊选择与就医机构选择进行了实证分析。实证结果发现,支付水平仍然是制约农村患者尤其是低收入群体选择正规医疗服务的重要因素。对于患有慢性及传染性疾病以及自评健康状况较差的农户而言,医疗可及性是另一影响其就诊的重要因素。对于贫困患者而言,收入水平、疾病严重程度及自评健康水平对其就医选择的影响与非贫困农户存在显著差异。
기우감숙、하남、엄동삼성18개현적실지조사수거,본문분별채용다항Logit모형（MNL）、조건다항Logit모형（CLM）화감투다항Logit모형（NLM）대중국농촌환자초차취진선택여취의궤구선택진행료실증분석。실증결과발현,지부수평잉연시제약농촌환자우기시저수입군체선택정규의료복무적중요인소。대우환유만성급전염성질병이급자평건강상황교차적농호이언,의료가급성시령일영향기취진적중요인소。대우빈곤환자이언,수입수평、질병엄중정도급자평건강수평대기취의선택적영향여비빈곤농호존재현저차이。
This paper executes an empirical study of individuals＇ first health care choice and medical facility choice in rural China. The paper applies Muhinomial Logit Model,Conditional Muhinomial Logit Model and Nested Muhinomial Logit Model based on the data from three provinces of Gansu, Henan and Guangdong, including 18 counties. Through the econometric analysis,we find that the ability to afford the pay is still the significant factor to affect the patients＇ formal health care choice especially for low - income groups. For the individuals who have chronic diseases, infectious diseases or bad selfrated health in rural China, medical accessibility is another significantly factor for their first health care choice. The results show that the influence of income level, symptoms severity and self - rated health on choice of medical treatment is significanly different between poverty and un - poverty groups in rural China.