新农合制度下参合农民的就诊意向及其影响因素

发布时间：2018-04-03 23:36

本文选题：新农合制度　切入点：农民就诊意向　出处：《山东大学学报(哲学社会科学版)》2014年01期

【摘要】：为了调查新农合制度下参合农民的就诊意向及其影响因素,首先对山东省66个县1278个农户进行入户问卷调查,发现超过九成的农户会选择基层医疗机构。然后采用嵌套Logit模型对农户就诊意向的影响因素进行检验,实证结果显示,在第一层次医疗机构(基层与高层)选择时,老年患者、慢性病患者和认为缴费水平过高的农户会倾向到基层定点医院就诊;农民受教育程度越高、报销次数越多、报销金额越高或者同时拥有商业保险者,越倾向到高层定点医疗机构就诊。在第二层次各级医疗机构选择时,平均花费和医疗服务质量高、报销比例高、距离近的医疗机构更受青睐,其中前两个因素的作用十分显著。
[Abstract]:In order to investigate the visiting intention and influencing factors of participating farmers under the new rural cooperative system, 1278 rural households in 66 counties of Shandong Province were investigated by questionnaire, and it was found that more than 90% of the farmers would choose primary medical institutions.Then the nested Logit model was used to test the influencing factors of farmers' visit intention. The empirical results showed that, when the first level of medical institutions (grass-roots and high-level) was selected, the elderly patients,People with chronic diseases and farmers who believe that the level of payment is too high will tend to go to designated hospitals at the grass-roots level. The higher the level of education of farmers, the more times they will be reimbursed, the higher the amount of reimbursement or those who have commercial insurance at the same time.The higher the tendency to visit high-level designated medical institutions.In the second level, the average cost and the quality of medical service are high, the proportion of reimbursement is high, and the close medical institution is more favored, among which the first two factors play a very important role.
【作者单位】：山东大学经济学院;中国人民大学;
【基金】：教育部人文社科基金“农村医疗卫生的政府供给效率:测度、评价与分析”(项目批准号11YJA790008) 山东省自然科学基金“关于山东省农村医疗卫生供给效率的实证研究”(项目批准号ZR2011GM011)的阶段性成果
【分类号】：F323.89;F842.6;F224

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