新农合政策与农村居民就医地点选择的关系

NCMS and the Change of Health Care Provider Choices of Rural people

利用中国营养和健康调查2004年和2006年的农户数据,研究通过多选项Logistic模型分析了新农合政策与农村居民就医地点选择的关系。回归结果显示:在新农合开展初期,新农合对人们的就医地点选择有显著影响,能够起到增加农村居民利用县乡医疗机构的作用。但随着新农合的全面覆盖,政策的作用迅速下降。即便增大新农合对各级医疗机构的就医补助,新农合亦未能起到显著影响作用。

Using data from 2004 and 2006 CHNS,this paper had empirically validated the relationship between rural people's health care provider choices and NCMS( New Cooperative Medical System) through a multinomial logistic model,and the regression outcome showed: in the early development of NCMS,this policy could exert an important effect on rural residents' health care provider choices, and made they prone to choose county or township- level institution to seek medical treatment. But when NCMS had almost covered all rural people,this policy's effect has vanished. Even when government had increased these medical institutions compensation rate,it also failed to act.