新农合同城化对居民就医意向的影响研究  

The effects of New Rural Cooperative Medical System after the urban integration on residents' medical intention

作　　者：张萌[1] 王盛 梁远 郭宇莎[3] 于家新 雷斌 霍荣瑞 黄高明[1] 

机构地区：[1]广西医科大学,广西南宁530021 [2]广西卫生计生委,广西南宁530021 [3]广西中医药大学,广西南宁530021

出　　处：《右江民族医学院学报》2016年第2期207-210,共4页Journal of Youjiang Medical University for Nationalities

基　　金：广西卫生厅重大课题(重2011133)

摘　　要：目的了解北部湾经济区参合农民对新农合制度的评价、对新农合同城化的态度以及新农合制度同城化后其就医选择意向的改变及其影响原因等,为进一步提高新农合统筹层次、制定新农合政策提供参考依据。方法采用多阶段随机抽样方法抽取在南宁、钦州、北海、防城港四市相应区(县)的乡镇卫生院,对其参加新农合农民进行问卷调查。结果86.58%的参合农民赞成新农合制度的同城化;影响选择就医地点的前4位因素为医疗服务水平高低、交通便利情况、医疗费用以及病情需要;个人的健康状况和文化程度与选择医疗机构的级别成正比关系。结论农民纯收入越高,越愿意同城化,并且同城化前后选择住院医院级别的影响因素都是医疗水平。新农合同城化后,各地要强化分级诊疗制度,调整补偿技术方案,避免基金发生透支。Objective To know the evaluation on New Rural Cooperative Medical System （NRCM）, atti tudes and the changes of intention of visiting doctors after the integration of the neighboring cities for NRCM as well as the influencing factors from the rural participants in NRCM, and to provide reference evidences for fur- ther improving the overall planning level and for formulating NRCM policy. random sampling method was used to sample township health centers in Methods The multi-- stages Nanning, Qinzhou, Beihai and Fangchenggang, then a questionnaire examination was done for the selected rural NRCM participants. Results The percentage of NRCM participants in favor of NRCM integration with city was 86.58~ the four main impact factors for choosing treatment sites were medical care level, convenient traffic conditions, medical ex- penses and illness condition need; personal health and educational degree had positive relationship with the se- lection of medical institution level. Conclusion The higher net income the farmers have, the more they are willing to urban integration, and medical level affects hospital for visiting： before and after urban integration. the rural participants in choosing the rank of inpatient Hierarchical Diagnosis and Treatment System and compensation technology solutions should be strengthened and adjusted to avoid funds overdraft after the NRCM urban integration.

关 键 词：新农合 同城化 就医意向 

分 类 号：R19[医药卫生—卫生事业管理]