ABSTRACT
Objective To analyze the influence of NRCMS polices evolutionon residents’utilizationof outpatient serv-ices.Methods Based on the same individual balance panel data in two years of three counties in Ji＇nan city,we build panel dat-amodel and conductrandom effects of binary choice panel data model,random effects Poisson regression model,difference in differences(DID)model to analyze the influence.Results Our study shows that the four-week consultation rate in 2011 in-creased by 4. 1% compared to 2008.Age,self-ratedhealthstatus,suffering from chronic diseases or not,the distance to the nearest medical institution have an influence on outpatient service utilization.The new rural cooperative medical outpatient reimburse-ment policy has an effect on thefour-week consultation rate of middle-income residents and high-income residents.The NCMS policy tends to benefit middle and high-income groups.Conclusion we should increase NCMS outpatient compensation level of low-income residents appropriately.
ABSTRACT
Since the new medical reform,the macro personnel salary policy has experienced three stages of soft policy requirements,overall exploration,key breakthrough and comprehensive reform,showing the characteristics of public oriented,equal weight,equal to the efficiency of the pull hack,to focus on efficiency and the breakthrough.The evolution of policies(such as salary,evaluation of professional titles and formation) were processed with their own characteristics.In the course of policy evolution,the evolution mechanism of policy exploration path was different,and the problem should be solved first.It suggested to deal with the relationship between equality and efficiency,scientifically apply policy experiments to promote policy making,and improve the overall planning ability of reform.