城市低收入人群门诊服务利用的实证分析  

The Empirical Study on the Urban Poor Household's Usage of Outpatient Medical Care

作　　者：高梦滔[1] 

机构地区：[1]云南民族大学经济学院

出　　处：《南方经济》2010年第1期28-37,共10页South China Journal of Economics

基　　金："云南省中青年学术技术带头人后备人才"(编号:2008PY038)项目支持

摘　　要：本文利用来自中国西部三个城市7949户的微观数据库测算了城市低保人群门诊的医疗服务需求函数。三城市门诊医疗费用存在不平等,4周患病治疗支出的集中指数为0.191。在控制了人口学和其他因素以后,计算的结果发现:1.低保人群平均的4周患病概率比非低保人群高9.5%;2.低保人群的医疗费用条件均值平均比非低保人群低23%;3.综合考虑了人群患病率以后,低保人群月人均门诊支出要低于非低保人群16元,据此估算得出要达到水平公平的目标,全国每年需要的门诊性质服务医疗救助筹资金额在53亿元左右。本文的计算结果没有考虑低保边缘人群,测算的筹资金额仅仅是一个底线。Using a sample of 7949 households in 3 cities from western region China, this paper studies outpatient service demand function of the urban poor. Provided with controlling the demographic and other variables, this paper find that the poor Four-week Morbidity Rate is higher about 9. 5% than the non-poor and the conditional expectation value on outpatient payment is lower about 23%. Adjusted by Morbidity Rate the Poor＇s expenditure on medical is 16 Yuan per-capita lower than the non-poor in one month. According this estimation it needs about 530 million Yuan to get the target of horizontal equity on the outpatient service expenditure.

关 键 词：门诊服务 城市贫困家庭 Two—part模型 需求函数 

分 类 号：F061.3[经济管理—政治经济学]