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基于中国观察的互联网医疗信息过载对居民医疗支出的影响。

The Impact of Internet Medical Information Overflow on Residents' Medical Expenditure Based on China's Observations.

机构信息

School of Public Management, South-Central University for Nationalities, Wuhan 430074, China.

Centre for Social Security Studies, Wuhan University, Wuhan 430072, China.

出版信息

Int J Environ Res Public Health. 2020 May 19;17(10):3539. doi: 10.3390/ijerph17103539.

Abstract

: The rapid rise of medical expenditure is a common problem in the field of public health around the world, but the challenges for the Chinese government are even greater. How to control the rapid rise in medical expenditure and reduce individuals' economic burden when receiving medical treatment has become one of the core issues that the Chinese government urgently needs to solve. The aim of this study was to evaluate the impact of Internet use on individuals' medical expenditure and further discuss the potential impact mechanism. : The data used in this study were from the 2018 China Family Panel Studies (CFPS) conducted by Peking University. The Heckman sample selection model was used to analyse the impact of Internet use on individuals' medical expenditure. : Internet use reduced the medical expenditure of individuals by 6.19%; high frequency Internet use reduced the medical expenditure of individuals by 15.1%, while low frequency Internet use had no impact. In addition, Internet use had different impacts on individuals' medical expenditure at different levels of hospitals. Specifically, Internet use reduced the medical expenditure of individuals who received medical treatment at general hospitals by 9.63%, and high frequency Internet use reduced the medical expenditure of individuals by 22.2%. However, Internet use had no impact on the medical expenditure of individuals who received medical treatment at primary hospitals. : Findings from this study underscore the importance of Internet use as an important role in reducing individuals' medical expenditure. The use of the Internet can significantly reduce the level of individuals' medical expenditure, and high frequency Internet use has a greater effect. However, Internet use has different impacts on individuals' medical expenditure among different levels of hospitals. The reduction effect of Internet use on individuals' medical expenditure is mainly concentrated in general hospitals but has no effect in primary hospitals.

摘要

: 医疗支出的快速增长是全球公共卫生领域的一个共同问题,但中国政府面临的挑战更大。如何控制医疗支出的快速增长,降低个人在接受医疗服务时的经济负担,已成为中国政府亟待解决的核心问题之一。本研究旨在评估互联网使用对个人医疗支出的影响,并进一步探讨潜在的影响机制。 : 本研究使用的数据来自北京大学开展的 2018 年中国家庭追踪调查(CFPS)。采用 Heckman 样本选择模型分析互联网使用对个人医疗支出的影响。 : 互联网使用使个人医疗支出减少了 6.19%;高频互联网使用使个人医疗支出减少了 15.1%,而低频互联网使用则没有影响。此外,互联网使用对不同级别医院的个人医疗支出有不同的影响。具体来说,互联网使用使在综合医院接受治疗的个人医疗支出减少了 9.63%,高频互联网使用使个人医疗支出减少了 22.2%;然而,互联网使用对在基层医院接受治疗的个人医疗支出没有影响。 : 本研究结果强调了互联网使用作为降低个人医疗支出的重要作用。互联网的使用可以显著降低个人的医疗支出水平,高频互联网使用的效果更大。然而,互联网使用对不同级别医院的个人医疗支出有不同的影响。互联网使用对个人医疗支出的降低效应主要集中在综合医院,而在基层医院则没有效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8981/7277770/faff26de127a/ijerph-17-03539-g0A1.jpg

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