HEALTH-SEEKING BEHAVIOR AND HOSPITAL CHOICE IN CHINA'S NEW COOPERATIVE MEDICAL SYSTEM
HEALTH-SEEKING BEHAVIOR AND HOSPITAL CHOICE IN CHINA'S NEW COOPERATIVE MEDICAL SYSTEM
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DOI：
10.1002/hec.1508
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发表时间：
2009-07-01
期刊：
影响因子：
2.1
通讯作者：
Theoharides, Caroline
中科院分区：
文献类型：
--
作者：
Brown, Philip H.;Theoharides, Caroline
自公社时期结束时农村合作医疗制度解体以来，疾病已成为中国农村贫困的主要原因。为了解决医疗保健的贫困状况，中国政府于2002年推出了新型合作医疗制度。由于地方政府已经被赋予了很大的控制权，对prop-ram的设计，该计划的基本特点各不相同，从一个县到下一个。这些差异可能会影响寻求医疗保健的决定以及最初决定选择医院条件。本文利用嵌套logit模型分析了25个县的家庭调查数据，分析了这种就医行为的决定因素。我们发现，年龄，家庭支出的份额分配给食品消费（相对收入的衡量标准），以及其他病人在家庭中的存在，寻求医疗保健的决定产生负面影响，而残疾有积极的影响。此外，有条件的石油寻求治疗，在每个县的报销计划和平均每日支出与住院治疗强烈影响医院的选择。版权所有（C）2009约翰威利&土壤有限公司。
Since the dissolution of the Rural Cooperative Medical System at the end of the commune period, illness has emerged as a leading cause of poverty in rural China. To address the poor state of health care, the Chinese government unveiled the New Cooperative Medical System in 2002. Because local governments have been given significant control over prop-ram design, fundamental characteristics of the program vary from one county to the next. These differences may influence the decision to seek health care as well as the choice of hospital conditional oil that initial decision. In this paper, we use a nested logit model to analyze household survey data from 25 Counties to analyze the determinants of such health-seeking behavior. We find that age, the share of household expenditures allocated to food consumption (a measure of relative income), and the presence of other sick people in the household negatively affect the decision to seek health care while disability has a positive influence. Further, conditional oil seeking treatment, the reimbursement scheme in place in each County and the average daily expenditure associated with hospitalization strongly influence hospital choice. Copyright (C) 2009 John Wiley & Soils, Ltd.