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农村中老年慢性病患者就诊行为与影响因素研究——基于CHARLS数据的实证分析
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| 投稿时间： 2015-09-01 最后修改时间： 2015-11-22 摘要点击次数: 2966 全文下载次数: 14 |
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| 引用本文：宁满秀, 余平平.农村中老年慢性病患者就诊行为与影响因素研究——基于CHARLS数据的实证分析[J].中国卫生政策研究,2016,9(5):35-41 |
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| 宁满秀, 余平平 |
| 福州大学经济与管理学院 福建福州 350108 |
| 基金项目:教育部人文社会科学研究青年项目(11YJC790138) |
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| | 摘要:为了探究农村中老年慢性病患者的就诊行为及其影响因素,本研究利用“中国健康与养老追踪调查(CHARLS)”2011年全国基线调查数据,并运用Multinomial Logit模型进行实证分析。研究结果表明:(1)农村中老年慢性病患者更易选择县级及以上医院和村级诊所就诊,而不是乡镇卫生院。(2)年龄、教育程度、家庭人均年收入、健康状况、地区类型是影响农村中老年慢性病患者就诊行为的显著性因素。据此,本研究认为农村慢性病治疗主体并未转移到乡镇卫生院。乡镇卫生院应该有针对性地提高慢性病医疗服务能力,积极强化其在慢性病防控与治疗中的职能。 | |
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关键词:慢性病 就诊行为 影响因素
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| Analysis on the rural elderly chronic patient's seeking healthcare behavior and its influencing factors: Empirical analysis based on CHARLS Data |
| NING Man-xiu, YU Ping-ping |
| School of Economics and Management, Fuzhou University, Fuzhou Fujian 350108, China |
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| | Abstract:In order to study the rural elderly chronic patient's seeking healthcare behavior and its influencing factors, the paper uses the 2011 national baseline survey data of the “China Health and Retirement Longitudinal Study (CHARLS)” and the Multinomial Logit model to conduct an empirical analysis. The study results show that: (1) The rural elderly chronic patients are more likely to choose the county-level and above hospitals and village clinics instead of the township health centers. (2) The obvious influencing factors in the healthcare seeking behavior include age, educational background, household per capita annual income, chronic disease severity, self-rated health and region. Therefore, the present study suggests that the treatment of chronic diseases does not transfer to the township health centers. The township health centers should improve their chronic medical service abilities, and actively strengthen their functions in chronic diseases prevention and treatment. | |
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