摘要
本文通过以农村固定观察点数据为基础,并基于清华大学农村固定观察点的新农合专项调查、中共中央政策研究室和农业部农村固定观察点的数据分析,形成了对新型农村合作医疗制度(简称新农合)对于农民就医行为的综合性分析。本文发现:新农合的普及显著提高了参合者的健康水平,并明显改善了参合者"小病拖、大病扛"的状况;同时,乡镇医疗卫生机构的利用率明显上升,县级以上卫生机构的就医比例有了一定的下降,基本在逐步实现分级诊疗的构想。新农合在调整农民分级诊疗的同时也反映出农民的就医能力依旧较弱,负担依旧偏重。
This paper on the basis of the rural fixed obselvation point data, and observation points of the new rural farmers of tsinghua university, policy research office of the CPC central committee, the ministry of agriculture rural fixed observation points of data analysis, formed the new rural cooperative medical system comprehensive analysis of the behavior for farmers. This article found： the popularization of New Cooperative Medical improved the health level of the circuit. At the same time, the utilization rate of township health institutions had increased, and the utilization rate of county level health institutions had reduced, gradually realized the idea of hierarchical diagnosis. New Cooperative Medical in adjusting classification diagnosis but also reflect the farmers＇ abihty is still weak, the burden is still heavy, because the choice of the determinants of health service. Medical treatment price is still sensitive, and the price elasticity of medical and health institutions at various levels are around 0.55. In tiffs paper, the part of conclusion to further improve the new rural cooperative medical system, provide certain reference to further the development of the urbanization in China.
出处
《财经科学》
CSSCI
北大核心
2015年第3期121-130,共10页
Finance & Economics
基金
河北省科学技术厅课题项目"农村城镇化发展问题研究"(项目编号:12457204D-34)
河北省社会科学发展研究课题项目"高职高专校企合作模式研究--基于秦皇岛职业技术学院投资与理财专业建设的实践"(项目编号:ZJY13210)
关键词
城镇化建设
新农合
自主就医
就医行为
Urbanization Construction
New Cooperative Medical
Independently Medical
Medical Behavior
