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目的:分析新型农村合作医疗的实施对参合农民的医疗消费行为偏好和疾病经济负担的影响。方法以县医院为例,通过构建医生与患者的住院决策博弈模型,分析对于门诊可治愈,非必须住院治疗疾病医患双方的最优战略,并讨论不同情况下患者的疾病经济负担。结论大部分情况下,即使拥有住院补偿,住院实际支出仍高于门诊费用。患者仅因拥有住院补偿而选择住院治疗是不明智的。
Objective: To analyze the impact of the implementation of new rural cooperative medical system on the preferences of participating farmers and their economic burdens. Methods Taking the county hospital as an example, this paper analyzes the optimal strategy of treating both hospitalized patients and patients who can be cured or not in the outpatient department by building a hospital-doctor decision-making game model between doctors and patients and discussing the patients’ economic burden of disease under different conditions. Conclusions In most cases, the actual expenditure on inpatients is still higher than outpatient costs, even with in-hospital reimbursement. It is not advisable for patients to be hospitalized simply because they have in-patient compensation.