摘要
目的:为当前大病保险以及农村医疗保障体系的完善提供政策参考。方法:建立二值响应变量的logistic模型,考察影响农户大病成员住院概率的因素及政策含义。结果与结论:慢性病对大病患者是否住院产生极显著的负影响,大病慢性病患者更倾向于非住院治疗方式;经济状况对大病患者的住院选择有极显著的影响,但不同经济状况大病患者的住院概率选择无显著差异;新农合对大病患者的住院治疗有极显著的促进作用,而大病救助以及其他医疗保障项目对农户是否住院影响不显著;年龄对大病患者是否住院有极显著负影响,大病患者住院概率随年龄的升高而逐渐降低。
Objective To provide the reference for the Chinese government to propose critical illness insurance program and establish multi-layer medical security system in rural area. Methods： Based on logistic model, this paper analyzes the influence factors of hospitalization rate of rural farm households who have suffered a lot from major illnesses. Results and conclusion ： chron- ic disease and age has apparent adverse influence on household members＇ hospitalization rate, while economic status and NCMS has significant positive effect on it. Medical aid and other medical programs have positive effect on house members＇ hospitalization rate but not significantly.
出处
《中国卫生事业管理》
北大核心
2013年第8期605-607,共3页
Chinese Health Service Management
基金
教育部人文社科青年基金课题"疾病风险冲击下农村弱势群体医疗保障问题研究"(编号:10YJCZH078)
国家社科基金西部项目(编号:10XJY0025)
中南林业科技大学人才引进项目"新农村建设背景下农村弱势群体医疗保障问题研究"(编号:105-0021)
湖南省情与决策咨询研究课题(编号:2013ZZ19)
关键词
大病
农户
住院
影响因素
major illness
farm household
hospitalization
influence factors
