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本文利用重庆市首批新农合试点县忠县589户农户问卷调查数据,对门诊和住院医疗服务利用情况进行描述性分析,同时采用Logit模型计量分析了新农合对住院医疗服务利用的影响。结果显示,样本农户的主要就诊机构为乡卫生院和村卫生室,新农合可以显著促进参保农民对医疗服务特别是住院医疗的利用,但也受到逆向选择问题的困扰。
In this paper, we use the questionnaire survey data of 589 households in County of Zhongnong County, the first NCMS pilot in Chongqing, to make a descriptive analysis on outpatient and inpatient medical service utilization, and use Logit model to measure and analyze the impact of NCMS on the utilization of hospital medical services . The results showed that the main medical institutions for sample farmers were township hospitals and village clinics. The NCMS can significantly promote the utilization of medical services, especially inpatient medical services, for insured peasants, but is also plagued by the problem of adverse selection.