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医院地域性对居民医疗需求的影响不仅仅是一个重要的学术问题,同样也具有很重要的政策含义。文章利用2006年和2008年所采集到的山东省97个村的家户调查问卷数据,研究了就诊距离对我国农村地区农民住院需求的影响。文章使用离散选择模型,估计了我国农村地区患者住院就医的需求函数。分析发现,农村患者的住院就医需求受到医院距离的显著影响。随着去医院就诊距离增加,患者去该医院就诊的概率会下降。并且这一影响也随着医院等级的变化而变化:越是基层的医院,影响越大。该研究为医疗服务的地域特性提供了新的证据。
The impact of hospital territoriality on residents’ medical needs is not only an important academic issue, but also has important policy implications. Based on the household survey data collected from 97 villages in Shandong Province collected in 2006 and 2008, the article studies the influence of the distance to the hospitalization demand of peasants in rural areas of our country. The article uses the discrete choice model to estimate the demand function of hospitalization for patients in rural areas of our country. The analysis found that hospitalization needs of rural patients were significantly affected by hospital distance. As the distance to the hospital increases, the probability of patients going to the hospital will decrease. And this influence also varies with the level of the hospital: the more grass-roots hospitals, the greater the impact. The study provides new evidence of the geographical nature of health services.