社会资本与拥有固定家庭医生：来自纵向数据的证据。
Social capital and having a regular family doctor: Evidence from longitudinal data.
机构信息
University of Ottawa, Department of Economics, 120 University Private, Ottawa, Ontario, K1N 6N5, Canada.
University of Ottawa, Department of Economics, 120 University Private, Ottawa, Ontario, K1N 6N5, Canada.
出版信息
Soc Sci Med. 2019 Jan;220:421-429. doi: 10.1016/j.socscimed.2018.12.003. Epub 2018 Dec 5.
Access to a regular source of health-care is problematic for some, irrespective of whether the regime is publicly or privately funded. Yet, evidence shows that access to a regular family doctor improves health outcomes. We are the first to examine the impact of social capital (e.g., tangible support, friends and family) on having a regular family doctor taking into account that social capital may be endogenously determined. Using the Canadian National Population Health longitudinal survey (1994-2010: n = 41,022) and a dynamic random effects probit model (with and without endogenous initial conditions) we find robust evidence of a statistically significant and positive causal relationship between social capital and the probability of having a regular family doctor. Since past access to a family doctor is a strong predictor of both current and future access, we show that social capital is much more important in helping individuals find a family doctor than for keeping one.
一些人无法定期获得医疗保健，无论医疗体系是公营还是私营。然而，有证据表明，定期看家庭医生能改善健康结果。我们首次考察了社会资本（如有形支持、朋友和家人）对拥有固定家庭医生的影响，同时考虑到社会资本可能是内生决定的。我们利用加拿大全国人口健康纵向调查（1994-2010 年：n=41022）和动态随机效应概率模型（有和没有内生初始条件），发现社会资本与定期看家庭医生的概率之间存在统计上显著的正因果关系的有力证据。由于过去是否能看家庭医生是当前和未来能否获得医疗服务的强有力预测因素，我们表明，社会资本在帮助个人找到家庭医生方面比在留住家庭医生方面更为重要。
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