首页|公路可达性对农村居民县城就医行为的影响——来自村庄月度数据

公路可达性对农村居民县城就医行为的影响——来自村庄月度数据

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文章利用2011-2020年我国宁远县农村公路通畅计划和各个村庄的公路是否建设完成且通畅作为识别策略,结合县级公立医院的病案首页数据,运用双重差分方法分析了公路可达性对农村居民县城就医行为的影响。结果表明:①农村公路可达性提高使得通路村庄每百人每月在县级公立医院就医的人数增加了约1。6人次。②公路可达性对农村居民县城就医行为的异质性影响表现为:显著增加了已婚居民和成年居民的就医人数,但减少了孤寡鳏居民的就医人数;显著增加了非急诊就医人数,但显著减少了急诊就医人数。③公路可达性对农村居民短期和长期县城就医行为均具有促进作用,表现为公路可达性提高后第2年对农村居民县城就医行为的影响最大,随后3~10年影响逐渐减小。研究发现公路可达性的提高不仅给予了农村居民更多的就医选择权,而且增加了居民利用高质量医疗资源的机会,为促进城乡居民医疗卫生服务的机会均等化提供了新思路。
Impact of Rural Road Accessibility on Rural Residents'Health Seeking Behavior:Based on the Monthly Data of Villages
Using the rural road connectivity plan and completion status of Ningyuan County in China from 2011 to 2020 as identification strategies,this paper explores the impact of rural road accessibility on rural residents'health seeking behavior by the means of the differences-in-difference based on the data of the medical record of county public hospitals.The results show that:1)Improving the rural road accessibility has increased the number of people seeking medical treatment in county-level public hospitals per 100 people per month by about 1.6.2)The heterogeneous impact of rural road accessibility on rural residents'health seeking behavior is as follows:the number of married rural residents and adult rural residents increased significantly,but the number of rural widows and widowers decreased.It significantly increased the number of non-emergency visits,but significantly reduced the number of emergency visits.3)Rural road accessibility has both short-term and long-term promotion effects on rural residents'health seeking behavior,manifested as the greatest impact on rural residents'health seeking behavior in the second year after the improvement of rural road accessibility,and gradually decreases in the following 3 to 10 years.The results indicate that rural road accessibility not only provides rural residents with more medical choices,but also increases patients'opportunities to utilize high-quality medical resources,and provides new ideas for promoting the equality of access to medical and health services in urban and rural areas.

road accessibilityhealth seeking behavior in countymedical accessibilitydifference-in-difference methodrural residentsheterogeneity

荣旖旎、欧阳文静

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湘潭大学 商学院,中国 湖南 湘潭 411105

湖南师范大学 商学院,中国 湖南 长沙 410081

公路可达性 县城就医行为 医疗可达性 双重差分法 农村居民 异质性

湖南省自然科学基金青年项目国家社会科学基金一般项目

2021JJ4054723BJL115

2024

经济地理
中国地理学会 湖南省经济地理研究所

经济地理

CSTPCDCSSCICHSSCD北大核心
影响因子:2.575
ISSN:1000-8462
年,卷(期):2024.44(3)