中国乡级卫生机构卫生服务需求弹性的研究  

Study on elasticity of medical service demand at the township level in China

作　　者：石洪兴[1] 吕军[2] 谢一萍[1] 王颖[2] 贾金忠[1] 苌凤水[2] 段琳[1] 孙梅[2] 王志锋[1] 郝模[2] 

机构地区：[1]北京大学公共卫生学院卫生政策与管理学系,北京100091 [2]复旦大学公共卫生学院卫生政策与管理学系

出　　处：《北京大学学报（医学版）》2010年第3期264-269,共6页Journal of Peking University:Health Sciences

基　　金：国家自然科学基金(79670059);国家杰出青年基金(79925002)资助~~

摘　　要：目的:认识中国乡级卫生机构卫生服务需求随其影响因素变化而变化的经济规律,为今后合理影响乡级卫生服务需求提供参考依据。方法:通过建立卫生服务需求与其影响因素的方程模型,对49家乡镇卫生院1995、1999、2003和2007年的卫生服务需求弹性进行测量。结果:门诊需求和住院需求的价格弹性各年较稳定,4个时间点的均值分别为-0.029和-0.132,收入弹性4个时间点的均值分别为0.973和0.977,从总体趋势上看,2000年后的收入弹性较上世纪90年代有所下降。结论:乡级医疗需求缺乏价格弹性,它是农村居民的必需品,在多项政策影响下其收入弹性有下降趋势,农村居民在乡级医疗机构看病的经济负担有所减轻。Objective：To find out the economic laws regulating medical service demand in accordance with influencing factors at the township level,thus to provide references for further adjusting the medical service demand reasonably in the future.Methods：The model of medical service demand was established to measure the elasticity of demand in 49 township health clinics in 1995,1999,2003 and 2007.Results：The price elasticity of outpatient and inpatient demand was stable during the four periods,and the average value was-0.029 and-0.132 respectively;the average value of income elasticity was 0.973 and 0.977,registering a downward trend in general.Conclusion：The medical service demand at the township level is price inelastic,indicating that it is a necessity for rural residents.The downward trend of income elasticity under the influence of some health policies illustrates a lightening in economic burden for medical service demand among rural residents in township health clinics.

关 键 词：乡村卫生服务 需求弹性 卫生政策 

分 类 号：R197.62[医药卫生—卫生事业管理]