农村贫困地区合作医疗制度不同补偿模式与补偿比对需方影响研究  

Influence of Different Allowance Modes and Rates of Cooperative Medical Services on Demand Side in Poor Rural Areas

作　　者：徐明生[1] 罗五金[1] 

机构地区：[1]同济医科大学

出　　处：《卫生软科学》1999年第1期37-41,共5页Soft Science of Health

摘　　要：在调查的贫困地区，有８种补偿模式。不同的补偿模式对农民的就医行为影响不同，以Ｆ模式效果最好。在相同补偿比的条件下，以村卫生室吸引力最强，乡卫生院次之，县级机构最低。就村、乡级卫生机构而言，补偿比越高，吸引力越大。住院服务的补偿比对居民住院服务利用的影响主要表现为乡住院补偿，在乡、县住院补偿均为５０％时，出现第一次较大需求增量，此后在乡住院补偿提高到９０％时出现第二次较大需求增量。In poor rural areas,there are eight modes of cooperative medical services.Different allowance mode has different health influence,F mode is the best one among all moeds.In the same outpatient allowance rate,village clinic has the largest absorption ability,the absorption ability of county health services organization is lowest.In respect of village clinic and township clinic,the higher the allowance rate,the larger the absorption ability.For inpatient service,the absorption ability of township clinic allowance is larger than county hospital allowance.The first large increase of demand only appear when allowance level arrive 50 per cent,the second large increase of demand appear until township allowance rate arrive 90 per cent.Different allowance levels have less influence to flowing direction of patient.

关 键 词：农村 贫困地区 合作医疗 补偿 需方 需求 

分 类 号：R197.62[医药卫生—卫生事业管理]