新型农村合作医疗制度下不同收入水平农民就医行为研究——基于江苏省农户样本数据的调查

The Study on Medical Care Seeking Behavior of Farmers in Different Income Levels under the New Rural Co-operative Medical System:Based on Data of Farmers in Jiangsu Province

  • 摘要: 利用对江苏省三个地区333位农民的调研数据,对新农合制度下不同收入水平农民就医行为进行了实证分析。研究结果表明:家庭收入高的农民比家庭收入低的农民,就诊概率要显著低;各收入组的门诊样本很大比例倾向于选择村卫生室就诊,因为距离近,方便;各收入组的住院样本很大比例额倾向于选择县级医疗机构,因为治疗效果好。建议:加强村卫生室建设,提高卫生服务能力;增加农民收入,提高保健防病意识;提高新农合医疗报销比例,降低农民自负比例;加快新农合与医疗救助制度的衔接进度,加大对贫困农民医疗救助的力度和救助范围。

     

    Abstract: This study used the survey data of 333 farmers in three areas of Jiangsu province, and analyzed medical care seeking behavior of farmers in different income levels. The results found that the visiting probability of high family income farmer is lower than low family income farmer. A large proportion of outpatient samples tend to choose village clinic, because of the near distance. A large proportion of inpatient sample tend to choose county hospital, because of the good treatment effect. The suggestions were that government should strengthen the building of village clinic and improve the health service ability; increase the income of farmers and improve health care and disease prevention awareness; improve medical reimbursement ratio and reduce farmer ego ratio; speed up the convergence progress of new rural co-operative medical system and medical assistance system and increase the medical assistance for the poor farmers.

     

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