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  

The impact of new rural cooperative medical system on farmer's decision of high-tech medical utilization: Evidence from supplier-induced demand

作　　者：郑旭辉[1] 刘进[2] 宁满秀[1] 

机构地区：[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

出　　处：《中南大学学报（社会科学版）》2015年第1期162-167,19,共7页Journal of Central South University：Social Sciences

基　　金：国家自然科学基金青年项目"新型农村社会养老保险制度的挤出效应与收入再分配效果研究"(71303050);教育部人文社会科学规划研究青年基金资助项目"基于SID视角的新型农村合作医疗保险制度研究:福利分析与政策设计"(11YJC790138)

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。Based on farmers’ field survey in Fujian province, this study, by applying Probit model from the perspectiveof supplier-induced demand, examines the effects of the new rural cooperative medical system on farmers’ utilizationdecisions of high-tech diagnosis medical services （such as CT and MRI）. The findings show that, after the control ofsome factors related to NRCMS’ reimbursement program, the density of beds or physicians could bring about thebehavior of supplier-induced demand of physician services and hence an significant increase in the probability ofmedical high-technology services utilization, and that the NRCMS’ payment approach, such as global budgeting or casepayment, would cut down significantly the probability of high-tech medical services utilization to some extent. So, thissuggests that the key of the next step is to reasonably guide and control the utilization of medical high-tech services inorder to keep NRCMS’ sustainable development which is eventually beneficial to farmers.

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 

分 类 号：F323.89[经济管理—产业经济]