农民参合视角下新型农村合作医疗可持续发展研究——基于中西部地区7省10县的农户调查  

Research on sustainable development of New Rural Cooperative Medical Scheme from perspective of the farmers:Based on the rural household survey of 7 provinces and 10 countries in central and western China

作　　者：李瑞锋[1] 胡凌娟[1] 高莉敏[1] 

机构地区：[1]北京中医药大学管理学院,北京100029

出　　处：《中国卫生政策研究》2012年第7期45-51,共7页Chinese Journal of Health Policy

基　　金：教育部人文社科基金青年项目(09YJC790020)

摘　　要：目的:了解中西部地区新农合可持续发展现状。方法:利用中西部地区7省10县的农户调查数据,运用描述统计分析和logistic回归分析方法进行了实证研究。结果:中西部地区农民三年持续参合率为95.7%,未来意愿参合率为79.9%,47.9%的农民了解新农合的相关内容,19.3%的农民认为住院报销起到了非常大的作用。Logistic回归结果表明,农民参合行为与年龄、职业、家庭规模、健康状况、新农合了解程度、补偿比等变量有关。结论:中西部地区农民持续参合率较高,但是部分人员参合意愿并不高;农民对新农合的了解程度相对偏低;中西部地区新农合住院补偿水平相对偏低。建议:进一步提高新农合住院补偿比,兼顾起付线和封顶线的同步调整,保持不同机构之间的平衡关系;加强政策宣传和简化政策设计。Objective： To investigate the present status of sustainable development of New Rural Cooperative Medical Scheme（NRCMS） in Central and Western China. Methods： Based on rural household survey data from 7 provinces including 10 countries in Central and Western China, the methods of descriptive statistics analysis and Lo- gistic Regression Model are used to provide the results. Results ： 3-years continuous participation rate is 95.7% and future willingness of participation rate is 79.9% respectively on rural resident survey data in Central and Western China. 47.9% rural residents understand the contents of NRCMS and 19.3% think that hospitalization reimburse- ment plays an important role. The result of Logistic Regression Model show that rural residents＇ participation behavior of NRCMS in Central and Western China related to variables such as age, job occupation, state of health, level of understanding and hospitalization reimbursement rate, etc. Conclusion： There is high continuous participation rate of NRCMS in Central and Western China but low future willingness of participation rate. Peasants have low level of un- derstanding of NRCMS and there exists relatively low hospitalization reimbursement rate of NRCMS in Central and Western China. Suggestion： Further increase hospitalization reimbursement rate of NRCMS in Central and Western China taking into account the simultaneous adjustment of starting line, top line, and balance of different medical in- stitutions. Strengthen the policy advocacy and simplify the policy design.

关 键 词：新型农村合作医疗 可持续发展 参合率 意愿 

分 类 号：R197.1[医药卫生—卫生事业管理]