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| 文章编号：1672-3104(2015)01-0162-06 |
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新型农村合作医疗制度对农户高科技医疗服务利用的影响——基于供给者需求角度 |
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郑旭辉1，刘进2，宁满秀1 |
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（1. 福州大学经济与管理学院，福建福州，350108；2. 上海财经大学财经研究所，上海，200433） |
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| 摘 要： 以福建地区农户为研究对象，基于供给者诱导需求角度，采用Probit型实证分析方法，分析新型农村合作医疗制度对农户高科技医疗(如CT、MRI)服务利用行为的影响。结果表明：控制新型农村合作医疗制度给付结构因素之后，病床密度与医生密度会引发医疗服务供给者的诱导需求行为，使患病农户高科技医疗服务利用的概率显著增加；按病种付费或总额预算制的医疗支付方式改革则显著降低患病农户的高科技医疗利用概率。因此，新农合制度的下一步工作重点必须是合理引导和有效控制高科技医疗服务利用，从而使新农合制度真正发挥其应有的政策功能。 |
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| 关键词： 新型农村合作医疗制度；高科技医疗服务；供给者诱导需求 |
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The impact of new rural cooperative medical system onfarmer’s decision of high-tech medical utilization:Evidence from supplier-induced demand |
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ZHENG Xuhui1, LIU Jin2, NING Manxiu1 |
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（1. College of Economics and Management, Fuzhou University, Fuzhou 350108, China;
2. Institute of Finance and Economics, Shanghai University of Finance and Economics, Shanghai 200433, China） |
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| Abstract: Based on farmers’ field survey in Fujian province, this study, by applying Probit model from the perspective of supplier-induced demand, examines the effects of the new rural cooperative medical system on farmers’ utilization decisions of high-tech diagnosis medical services (such as CT and MRI). The findings show that, after the control of some factors related to NRCMS’ reimbursement program, the density of beds or physicians could bring about the behavior of supplier-induced demand of physician services and hence an significant increase in the probability of medical high-technology services utilization, and that the NRCMS’ payment approach, such as global budgeting or case payment, would cut down significantly the probability of high-tech medical services utilization to some extent. So, this suggests that the key of the next step is to reasonably guide and control the utilization of medical high-tech services in order to keep NRCMS’ sustainable development which is eventually beneficial to farm, ers. |
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Key words: the new rural cooperative medical scheme; high-tech medical service; supplier-induced demand |
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