论文部分内容阅读
目的探讨影响我国18岁以上居民卫生服务需求的因素并分析作用机制。方法基于中国健康和营养调查2011年数据,针对18岁以上居民,以健康状况、人口统计学特征、经济和医疗保险四方面为指标,运用两分类的Logistic回归模型进行研究,再采用中介变量和调节变量进行解释。结果疾病越严重、年龄越大、受教育程度越低、农村户口、有医疗保险的人群就诊率越高,男性的就诊率比女性低,北京、上海等经济发达地区的就诊率高。收入越高会提高健康水平,使得就诊率降低。年龄对于健康因素对就诊率的影响有负效应,而医疗保险具有正效应。结论疾病严重程度、年龄、性别、受教育程度、所在省市、户籍和医疗保险对我国18岁以上居民卫生服务需求的影响有统计学意义,疾病严重程度对于收入的影响有中介作用,年龄与医疗保险是疾病严重程度对就诊率影响的调节变量。
Objective To explore the factors influencing the demand of health service for residents over the age of 18 in our country and to analyze the mechanism of action. Methods Based on the data of China Health and Nutrition Survey 2011, the two-category Logistic regression model was used to study the health status, demographics, economy and medical insurance for residents over the age of 18, and then using mediation variables and Adjust variables to explain. Results The more serious the disease, the older and the less educated. The higher the attendance rate of rural residents and people with medical insurance, the lower the attendance rate of men than women, the higher the visiting rate in economically developed areas such as Beijing and Shanghai. The higher the income, the higher the health level, resulting in lower attendance rates. Age has a negative effect on the impact of health factors on the rate of visits, while medical insurance has a positive effect. Conclusion The severity of illness, age, gender, educational attainment, provinces, residences and medical insurance have a significant impact on the health service demand of residents over the age of 18 in our country. The severity of illness has an intermediary effect on the income, Medicare is the regulatory variable that affects the severity of the illness on the visit rate.