Research On The Impact Of Urban And Rural Residents’ Basic Medical Insurance On Medical Treatment Behavior Of Urban And Rural Residents Based On CFPS Data

With the continuous improvement of medical insurance system and the continuous implementation of the hierarchical diagnosis and treatment system,the behavior of urban and rural residents in medical treatment is also changing.However,the implementation and improvement of the policy did not fully guide the residents to seek medical treatment at the grass-roots level,and at the same time,the health expenses increased year by year.Based on the background of hierarchical diagnosis and treatment,this article will basically establish a hierarchical diagnosis and treatment system in line with my country’s national conditions in 2020 and completely cancel the requirements of urban and rural residents’ basic medical insurance personal accounts to conduct research on medical treatment behavior,and use the second round of CFPS and The third round of data just straddled the time point of the two stages of the hierarchical diagnosis and treatment system.It can be more targeted in the context of hierarchical diagnosis and treatment to study the impact of medical insurance on the medical behavior of urban and rural residents.The research object of this paper is the medical behavior of urban and rural residents,focusing on the impact of basic medical insurance of urban and rural residents on the medical behavior of urban and rural residents under the background of hierarchical diagnosis and treatment,in order to alleviate the pressure of residents’ health expenditure,guide residents to seek medical treatment at the grass-roots level,solve the problem of overcrowding of tertiary medical institutions,and provide support for policy makers.Based on the theory of institutional change and Andersen’s theory,this paper uses multiple logit regression model to analyze the data,and carries out autocorrelation test,multicollinearity test and heteroscedasticity test on the model.The study found that urban and rural residents who participated in the basic medical insurance of urban and rural residents were more likely to go to primary medical institutions for medical treatment;with the growth of age,urban and rural residents would be promoted to go to general hospitals,community health service centers / township hospitals and community health service stations / village clinics for medical treatment;urban and rural residents who rated themselves as relatively healthy / generally healthy were compared with those who considered themselves unhealthy For the unemployed and working urban and rural residents,they are more likely to go to clinics than to go to general hospitals or specialized hospitals.Compared with unemployed residents,urban and rural residents who quit the labor market are more likely to go to primary medical institutions for medical treatment;urban and rural residents with chronic diseases are most likely to go to specialist hospitals for medical treatment;residents with education level of primary school / junior high school,senior high school and college or above are more likely to go to general hospitals and specialist hospitals for medical treatment.With the change of time,there is a tendency to go to the clinic.It is worth noting that although the total medical cost is statistically significant,it will not affect the medical behavior of urban and rural residents.Therefore,this paper puts forward the following suggestions: incline to the primary medical institutions in the aspect of medical insurance reimbursement;strengthen the implementation of hierarchical diagnosis and treatment system,make clear the functional orientation and convergence of medical institutions;adjust the layout of medical resources,establish medical network,strengthen the construction of primary hospitals;primary medical institutions improve their own diagnosis and treatment level at the same time,carry out health education for the residents within their jurisdiction;implement family planning The system of doctors should be established,and the construction of family doctors should be strengthened.