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依据大连市实地调查数据,首次尝试利用农民主观感受指标测度医疗服务可及性状况,并在此基础上详细探讨了影响医疗服务可及性的不同因素以及医疗服务可及性与医疗服务利用关系.研究认为,农民医疗服务可及性仍有较大提升空间.虽然“新农合”积极作用值得肯定,但农民依然面临着“看病贵”和“看病难”问题.此外,医疗服务可及性感受已经严重抑制了农民的医疗服务消费需求.尽管诸如收入、健康状况以及主观倾向等需方因素显著影响医疗服务可及性,但现阶段唯有结合供给方的有效改革才是提高农民医疗服务可及性的关键.
Based on the field survey data in Dalian, the first attempt to measure the availability of medical services using subjective perception of farmers and on the basis of which the different factors affecting the accessibility of medical services and the relationship between access to medical services and the utilization of medical services are discussed in detail According to the research, there is still much room for improvement in the accessibility of medical services to peasants.While the positive role of NCMS is worthy of recognition, peasants still face the problem of “expensive medical treatment” and “difficult medical treatment”. In addition, the perceived accessibility of medical services has severely curtailed peasant health care consumer demand, and while demand-side factors such as income, health status, and subjective tendencies have a significant impact on access to health care services, at this stage, Reform is the key to improving the accessibility of peasants’ medical services.