CAJ | 학술논문

本文通过以农村固定观察点数据为基础，并基于清华大学农村固定观察点的新农合专项调查、中共中央政策研究室和农业部农村固定观察点的数据分析，形成了对新型农村合作医疗制度（简称新农合）对于农民就医行为的综合性分析。本文发现：新农合的普及显著提高了参合者的健康水平，并明显改善了参合者“小病拖、大病扛”的状况；同时，乡镇医疗卫生机构的利用率明显上升。县级以上卫生机构的就医比例有了一定的下降，基本在逐步实现分级诊疗的构想。新农合在调整农民分级诊疗的同时也反映出农民的就医能力依旧较弱，负担依旧偏重。
본문통과이농촌고정관찰점수거위기출，병기우청화대학농촌고정관찰점적신농합전항조사、중공중앙정책연구실화농업부농촌고정관찰점적수거분석，형성료대신형농촌합작의료제도（간칭신농합）대우농민취의행위적종합성분석。본문발현：신농합적보급현저제고료삼합자적건강수평，병명현개선료삼합자“소병타、대병강”적상황；동시，향진의료위생궤구적이용솔명현상승。현급이상위생궤구적취의비례유료일정적하강，기본재축보실현분급진료적구상。신농합재조정농민분급진료적동시야반영출농민적취의능력의구교약，부담의구편중。
This paper on the basis of the rural fixed obselvation point data, and observation points of the new rural farmers of tsinghua university, policy research office of the CPC central committee, the ministry of agriculture rural fixed observation points of data analysis, formed the new rural cooperative medical system comprehensive analysis of the behavior for farmers. This article found： the popularization of New Cooperative Medical improved the health level of the circuit. At the same time, the utilization rate of township health institutions had increased, and the utilization rate of county level health institutions had reduced, gradually realized the idea of hierarchical diagnosis. New Cooperative Medical in adjusting classification diagnosis but also reflect the farmers＇ abihty is still weak, the burden is still heavy, because the choice of the determinants of health service. Medical treatment price is still sensitive, and the price elasticity of medical and health institutions at various levels are around 0.55. In tiffs paper, the part of conclusion to further improve the new rural cooperative medical system, provide certain reference to further the development of the urbanization in China.