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对不同医疗机构的选择和政府在医疗卫生保健提供上的作用主要取决于人们对医疗卫生服务的需求及医疗机构在促进和提高人民健康状况所提供服务的有效性。本文旨在借助计量经济学模型对影响保险人群对门诊服务需求的因素及他们的自愿支付能力提供一个经验分析,为政府决策提供一些依据。本研究利用条件logit模型(Conditional Logit)对患者的健康状况及他们对不同级别医疗机构的选择进行估计。我们发现模型中所选择的代表个人特征的一些变量对健康状况有显著影响;就患者对医疗机构的选择而言,医疗费用的自付部分和他们的经济收入在决定其选择上起着重要作用。
The choice of different medical institutions and the role of the government in the provision of medical and health care depends mainly on people’s demand for medical and health services and the effectiveness of the services provided by medical institutions in promoting and improving people’s health. This article aims to use the econometric model to provide an empirical analysis of the factors that influence the demand of outpatient services for insured people and their willingness to pay, providing some basis for government decisions. This study uses conditional logit models to assess the health status of patients and their choices for different levels of medical institutions. We have found that some of the variables selected in the model that represent personal characteristics have a significant impact on health status; in terms of patients’ choice of medical institutions, the self-paid portion of medical expenses and their economic income play an important role in determining their choices. .