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Impact of the New Cooperative Medical Scheme on Health Care Service Utilization in Rural China

机译:新型合作医疗制度对中国农村医疗服务利用的影响

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摘要

Using the 2000, 2004, and 2006 CHNS longitudinal survey data and econometric methods (random-effect probit regression model and DID methods), this study conducted an empirical analysis to estimate the impact of NCMS. The major conclusions are as follows. First, predisposing factors, enabling factors, health care need factors, and lifestyle factors affect health care utilization. Second, results using DID methods indicate that NCMS did not affect health care service utilization (outpatient and inpatient) of individuals when ill, but it might increase the possibility of getting a health examination. Third, there is no difference in health care service utilization (both outpatient and inpatient) between the NCMS enrollment group and the non-enrollment group in both working age group (15~59) and the elderly group (60 and over). Therefore, it can be said that NCMS did not affect the health care utilization in both the group. However, NCMS positively affects disease prevention behavior (visiting the hospital to receive a health examination) in the working age group, but the effect did not appear in the elderly group.
机译:本研究使用2000年,2004年和2006年的CHNS纵向调查数据和计量经济方法(随机效应概率回归模型和DID方法)进行了实证分析,以评估NCMS的影响。主要结论如下。首先,易感性因素,促成因素,医疗保健需要因素和生活方式因素影响医疗保健利用率。其次,使用DID方法的结果表明,新农合在生病时不会影响个人的医疗服务利用率(门诊和住院),但可能会增加进行健康检查的可能性。第三,在工作年龄组(15〜59岁)和老年人组(60岁及以上)中,新农合入组与非入组的医疗服务利用率(门诊和住院)没有差异。因此,可以说新农合对两个组的医疗保健利用率均没有影响。然而,新农合对工作年龄组的疾病预防行为(去医院接受健康检查)有积极影响,但在老年人组中没有出现这种效果。

著录项

  • 作者

    Ma, Xinxin; 馬, 欣欣;

  • 作者单位
  • 年度 2016
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  • 原文格式 PDF
  • 正文语种 en
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