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本文结合１９９７ 年在国家级贫困县四川古蔺进行合作医疗试点的基线调查资料，建立了预测村级门诊医疗利用概率的Ｌｏｇｉｓｔｉｃ 回归模型。通过模型的方法分析了影响村级门诊利用的多种因素， 指出影响村级门诊利用的主要因素除了经济收入、年龄、性别等因素以外， 还受到疾病严重程度、卫生服务可及性乃至医疗技术水平、医疗服务价格等因素的影响。本文还提出了在贫困农村开展合作医疗工作中供、需双方管理需要注意的问题。
This article combines the baseline survey data of a pilot cooperative medical experiment in the ancient poverty-stricken area of Sichuan Province in 1997, and establishes a logistic regression model to predict the probability of medical use in village clinics. Through a model approach, we analyzed various factors affecting village-level outpatient utilization and pointed out that in addition to factors such as income, age, and gender, major factors affecting village-level outpatient utilization are also affected by disease severity, access to health services, and even medical technology. Level, medical service price and other factors. This paper also puts forward the issues that need attention in the management of supply and demand for cooperative medical work in poor rural areas.