论文部分内容阅读
当前农村医疗改革面临既要满足农村居民对医疗服务的基本需求,又要防止资源浪费的两难问题。本文探讨了农户就诊单位的特征与可及性,并选用多项Logit模型分析影响患者就诊单位选择的因素。研究表明,医疗服务价格的上涨将使更多的患者难以进入医疗市场获得基本的治疗,合作医疗规定的定点医疗机构和严格的转诊制度在一定程度上限制了农村居民对医疗服务的过度利用,并且,经济因素和疾病的严重程度对患者就诊单位的选择具有交互影响。
At present, the rural medical reform faces the dilemma of not only meeting the basic needs of rural residents for medical services, but also preventing the waste of resources. This paper explores the characteristics and accessibility of farmer households and selects multiple Logit models to analyze the factors influencing patient selection. Research shows that rising medical service prices will make it more difficult for more patients to access the medical market to obtain basic treatment. The medical institutions and the strict referral system stipulated by the cooperative medical system to a certain extent limit the rural residents’ over-utilization of medical services , And economic factors and the severity of the disease have an interactive effect on the choice of patient treatment unit.