For a long time,the problem of"difficult and expensive medical treatment"has been an important reason for peasants to seek medical treatment outside their county.Based on the CHNS data in 2009,2011 and 2015,this study investigates the impact of rural medical resources allocation on peasants'geographical choices for medical treatment by using bi-directional fixed effect model,instrumental variable method and mediating effect model.The results show that increasing rural medical resources allocation has changed peasants'geographical choices for medical treatment,and is an important determining factor for peasants with serious diseases to choose self-determinedly to seek medical treatment within their county.Further mechanism analysis shows that increasing rural medical resources allocation has improved the quality and accessibility of county-level medical services,and can attract more peasants with serious diseases to seek medical treatment within their county.County-level hospitals represent the highest level of medical service quality in the county and can attract peasants to diagnose and treat serious diseases within their county;grassroots medical institutions centrally reflect the accessibility advantages of rural medical services,allowing peasants with serious diseases to access economic,convenient and acceptable later rehabilitation services;and that increasing rural medical resources allocation has improved the county-level hospitals'service quality and the accessibility of services provided by rural grassroots medical institutions and has effectively alleviated the need for peasants with serious diseases to seek medical treatment outside their county,thus facilitating the achievement of the medical reform goal of"serious diseases treated within the county".Therefore,increasing rural medical resources allocation and focusing on improving the service quality of county-level hospitals and the service accessibility of rural grassroots medical institutions are important aspects of promoting the development of rural medical services.
关键词
医疗资源/医疗服务/农民/异地就医
Key words
medical resources/medical service/peasant/offsite medical treatment
万方数据