| 引用本文：张少怀, 李丽, 吴振峰.新医改对城乡居民医疗负担和医疗弹性影响的实证研究[J].中国卫生政策研究,2018,11(11):10-15 |
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| 新医改对城乡居民医疗负担和医疗弹性影响的实证研究 |
| 投稿时间：2017-11-11 修订日期：2018-03-24 PDF全文浏览 HTML全文浏览 |
| 张少怀1, 李丽2, 吴振峰3 |
1. 华东师范大学城市与区域科学学院 上海 200333;
2. 河北省中医院 河北石家庄 050011;
3. 南开大学数学科学学院 天津 300071 |
| 摘要:目的：检验2009年实施的新医改方案是否有效降低了城乡居民的医疗负担和医疗弹性。方法：采用单变量统计检验、横截面混合OLS和面板固定效应回归的方法，分别对新医改对于城乡居民医疗负担以及医疗弹性的影响进行实证分析。结果：新医改不仅有效降低了城镇居民的医疗负担与医疗弹性，而且在抑制农村居民医疗弹性增长方面也发挥了一定的作用；从地理分布来看，新医改对于减轻城镇居民医疗负担和医疗弹性的作用主要体现在中东部发达地区。结论：应进一步分析新医改的实施所造成地区差异的根源所在，全面深化医疗卫生体制改革，从而切实有效地解决居民“看病贵”的问题。 |
| 关键词:医疗卫生体制改革 医疗负担 医疗弹性 |
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| The empirical research of the new health care reform on medical burden and medical elasticity of urban and rural residents |
| ZHANG Shao-huai1, LI Li2, WU Zhen-feng3 |
1. School of Urban & Regional Science, East China Normal University, Shanghai 200333, China;
2. Hebei provincial hospital, Shijiazhuang Hebei 050011, China;
3. School of Mathematical Sciences, Nankai University, Tianjin 300071, China |
| Abstract:Objective:This study investigates whether the new medical reform conducted by the government of China does reduce the medical burden and medical elasticity of urban and rural residents. Methods:The medical burden level is measured by the expenditure-to-income ratio, and this paper adopts univariate statistical test, cross sectional OLS regression and panel effect model regression to further analyze of the data. Results:The new medical reform has not only effectively reduced the medical burden level and medical elasticity for urban residents, but also played an important role in restraining the growth of the medical elasticity for rural residents. In addition, the decrease of the medical burden and medical elasticity for urban residents is mainly reflected in the eastern and central developed regions. Conclusions:Relevant institutions should further analyze the root causes of the differences resulted from the implementation of the new medical reform in various areas, so as to better deepen the reform of China's medical system comprehensively, and effectively solve the problem of expensive medical services. |
| Key words:Medical and health system reform Medical burden Medical elasticity |
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