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本文利用两个国家级贫困县6003户、6803例大病患者的农户调查数据,考查农村居民大病就诊行为,并利用Heckman两阶段模型对影响农村居民大病就诊决策和就诊费用的主要因素进行分析。研究表明,农村居民大病就诊决策受性别、年龄、是否外出务工、家庭人口规模、家庭经济状况、是否有新型农村合作医疗保障等因素的影响;农村居民大病就诊费用受性别、年龄、是否外出务工、是否患有慢性病、家庭人口规模、是否有其他医疗保障等因素的影响。
In this paper, the survey data of farmer households in 6003 and 6803 seriously ill patients from two national poverty-stricken counties were used to investigate the serious illness of rural residents. The Heckman two-stage model was used to analyze the main factors affecting the decision-making and visiting costs of rural residents suffering from serious illness. The research shows that the decision-making of rural residents suffering from serious illness is affected by such factors as gender, age, migrant workers, family size, family economic status and whether there is a new type of rural cooperative medical insurance and so on. The cost of visiting seriously ill rural residents is affected by gender, age, , Whether it is suffering from chronic diseases, family size, whether there are other health insurance and other factors.