青年流动人口就医流向选择的影响因素与测度分析——基于北京、上海和深圳调查

Medical Orientation of Young Migrants: Evidence from Beijing, Shanghai and Shenzhen Cities

通过探讨和研究青年流动人口就医流向,为认识和分析青年流动人口就医问题提供数据和依据,为提高我国青年流动人口的健康水平、优化卫生资源配置、促进卫生资源分配的公平合理、完善我国青年流动人口异地就医政策提供理论基础。故此,根据消费者选择效用最大化原理,应用就医地点对就医者的效用满足函数,构建基于效用最大化的青年流动人口就医行为选择及影响因素评估模型,从就医机构选择的预测概率、离散变化和Odds Ratios等角度对影响因素的重要程度及影响大小进行定量测度和分析,结论显示:青年流动人口的个体特质人口学因素、经济支持因素和生理因素对青年流动人口的就医流向影响具有统计显著性,但对不同就医方式选择的影响大小不尽相同,教育程度和在业状况对就医流向的影响最大,并根据影响因素程度的不同,提出了相应的对策和建议。

Young migrants are increasingly dominating the trends in China＇ s floating population. Studying medical orientation of the young migrants is important for understanding and addressing the medical problem of the young floating population, and can also provide theoretical basis for promoting the healthcare level, promote fair and reasonable allocation of healthcare resources, and improve medicare policy for the young floating population. Using data from a 2010 survey in China＇ s three large cities, Beijing, Shanghai and Shenzhen, this paper examines patterns and determinants of medical ori- entation of young migrants. By modeling multinomial Logistic regression, we find that demographic, e- conomic and physiological factors have different influences on medical orientation of the young floating population, but all the influences are statistically significant. Education level and employment status have the biclclest impact on medical orientation. Policy implications are discussed.