城市低收入人群门诊服务利用的实证分析

本文利用来自中国西部三个城市7949户的微观数据库测算了城市低保人群门诊的医疗服务需求函数。三城市门诊医疗费用存在不平等，4周患病治疗支出的集中指数为0．191。在控制了人口学和其他因素以后，计算的结果发现：1．低保人群平均的4周患病概率比非低保人群高9．5％；2．低保人群的医疗费用条件均值平均比非低保人群低23％；3．综合考虑了人群患病率以后，低保人群月人均门诊支出要低于非低保人群16元，据此估算得出要达到水平公平的目标，全国每年需要的门诊性质服务医疗救助筹资金额在53亿元左右。本文的计算结果没有考虑低保边缘人群，测算的筹资金额仅仅是一个底线。

The Empirical Study on the Urban Poor Household's Usage of Outpatient Medical Care

Using a sample of 7949 households in 3 cities from western region China,this paper studies outpatient service demand function of the urban poor.Provided with controlling the demographic and other variables,this paper find that the poor Four-week Morbidity Rate is higher about 9.5% than the non-poor and the conditional expectation value on outpatient payment is lower about 23%.Adjusted by Morbidity Rate the Poor's expenditure on medical is 16 Yuan per-capita lower than the non-poor in one month.According thi...