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患者选择公立或民营医院就诊的影响因素分析——以中老年患者为例
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| 投稿时间： 2015-03-15 最后修改时间： 2015-05-13 摘要点击次数: 3067 全文下载次数: 1545 |
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| 引用本文：顾海, 罗新录.患者选择公立或民营医院就诊的影响因素分析——以中老年患者为例[J].中国卫生政策研究,2015,8(5):31-36 |
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| 顾海, 罗新录 |
| 南京大学公共卫生管理与医疗保障政策研究中心 江苏南京 210046 |
| 基金项目:国家自然科学基金(71373120);江苏高校哲学社会科学基金(2014ZDIXM003) |
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| | 摘要:本文采用二项 Logistic 回归模型,利用2011年“中国健康与养老追踪调查”(CHALRS)数据,对中老年就诊患者选择公立或民营医院的影响因素进行分析.研究发现自评健康、就诊咨询、使用基本医疗保险报销等因素影响显著.健康存量越小、有就诊咨询需求、使用基本医疗保险报销的患者选择公立医院的概率相对较高.说明中老年就诊患者在处理疾病风险时更信赖公立医院,医保定点医院主要集中在公立医院,进一步推动了患者选择公立医院就诊.建议加强对老年性疾病的预防和控制;提高医院的咨询服务水平;加强对民营医院的扶持,放开民营医院的价格限制,调整医保定点医院的准入机制;加强行业监管和信息公开. | |
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关键词:公立医院 民营医院 选择决策 影响因素
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| Influencing factors on the choice of public or private hospitals by middle: Aged and elderly patients |
| GU Hai, LUO Xin-Lu |
| Public Health Management and Health Care Policy Research Center, Nanjing University, Nanjing Jiangsu 210046, China |
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| | Abstract:This paper uses the binomial logistic regression model and the 2011 China Health and Retirement Longitudinal Study (CHALRS) to analyze the influencing factors on the choice of public or private hospitals by middle-aged and elderly patients. The study finds that rural residents are significantly influenced by the self-evaluation of health, on-demand clinic consultation, and the use of basic medical insurance systems. There is a higher probability that patients that are not as healthy and that require clinical consultation or the use of the basic medical insurance system will choose public hospitals. The study concludes that elderly patients have greater trust in public hospitals when they seek treatment for disease risks. Moreover, the fixed points of medical insurance are concentrated in public hospitals, thereby prompting patients to choose public hospitals. It is suggested that the prevention and control of senile diseases be strengthened, the level of hospital consulting services be improved, and the access mechanisms of medical insurance fixed point hospitals be adjusted. | |
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