疾病类型、医疗保险与农民就医机构选择行为研究

发布时间：2018-01-06 19:13

本文关键词：疾病类型、医疗保险与农民就医机构选择行为研究　出处：《农业技术经济》2017年02期 　论文类型：期刊论文

【摘要】：本文基于2014年全国12个省的调查数据,利用因子分析和多元Logistic模型,分析疾病类型、医疗保险对农民就医机构选择行为的影响。结果表明:农民就医主要选择县级医院,无论是大病,还是慢性病,皆是如此;疾病类型是影响农民就医机构选择行为的决定因素,对农民就医机构选择行为变异的解释力是医疗保险解释力的1.41倍;医疗保险对农民就医机构选择行为有显著影响,但这种影响不在于是否参加医疗保险,而在于医疗保险的保障能力,这种保障能力体现在医疗保险补偿机制合理性及其缓解农民就医问题的程度。乡镇医院普遍存在的医生技术差和设备简陋问题,是导致农民不选择乡镇医院的主要原因。
[Abstract]:Based on the survey data of 12 provinces in China in 2014, the disease types were analyzed by factor analysis and multivariate Logistic model. The effect of medical insurance on the behavior of farmers' choice of medical institutions. The results show that farmers mainly choose county-level hospitals for medical treatment, whether it is serious illness or chronic diseases. The type of disease is the decisive factor of the farmers' choice of medical institutions, and the explanatory power to the variation of the farmers' choice of medical institutions is 1.41 times of that of the medical insurance. Medical insurance has a significant impact on the behavior of farmers to choose medical institutions, but this impact is not whether to participate in medical insurance, but the ability to protect medical insurance. This kind of guarantee ability is reflected in the rationality of medical insurance compensation mechanism and the degree of alleviating the problem of peasants seeking medical treatment. It is the main reason why farmers do not choose township hospitals.
【作者单位】：中南财经政法大学公共管理学院;中南财经政法大学区域经济学博士后流动站;
【基金】：中南财经政法大学公共管理学院暑期调研项目:湖北省社会养老服务体系建设调查研究(编号:31700000003) 河南省高校哲学社会科学创新团队支持计划项目:社会治理精细化与公共政策选择(编号:2017-CXTD-09)
【分类号】：R197.1;F842.684;F323.89
【正文快照】： 一、问题的提出为有效解决农民的“看病难、看病贵”和“因病致贫、因病返贫”问题,国务院进行了一系列改革,如完善医保制度、均衡配置医疗资源、推动双向转诊等,但这些改革大多立足“供给”角度,而较少考虑农民的“需求”。2009年,国家把“保基本、强基层、建机制”作为医疗

【相似文献】