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中国威海新型农村合作医疗满意度及其影响因素分析

Analysis of satisfaction about new cooperative medical scheme and its influencing factors in Weihai, China.

作者信息

Liu Jinan, Xu Lingzhong, Cao Xiuling, Wang Xingzhou, Sun Hui, Tang Cheng, Yang Zhenghui, Song Xiaofei, Lv Ming

机构信息

Institute of Social Medicine and Health Management, Shandong University, Jinan 250012, PR China.

出版信息

Health Policy. 2008 May;86(2-3):239-44. doi: 10.1016/j.healthpol.2007.10.010. Epub 2007 Dec 3.

Abstract

From 2003, under the principle of raising fund in multiple ways and voluntarily jointing in by rural people, trial areas of new cooperative medical scheme (NCMS) are increasing year-by-year in China. Meanwhile, more and more farmers participate in NCMS with great enthusiasm. In this study, we examined the satisfaction about new cooperative medical scheme (NCMS) as well as the factors that had an influence on the attitudes towards NCMS. The sample, 4303 countryside residents aged > or =15-year, was randomly chosen by using stratified-cluster sampling method. Data were evaluated by using percentages, nonparametric tests and ordinal regression. As showed in this study, 73.2% of the subjects were satisfied with NCMS. According to the results of single factor analysis, the attitudes towards NCMS were affected by gender, age, self-rated health status, whether having received health check-ups, and hospital stay during 2006, the difference proving to be statistically significant (P<0.05). In the ordinal regression analysis, it was found that the following factors, age, self-rated health status, whether having received health check-ups, and hospital stay during 2006, had an influence on satisfaction (P<0.05).

摘要

自2003年起,我国新型农村合作医疗(新农合)试点地区按照多方筹资、农民自愿参加的原则逐年增加。与此同时,越来越多的农民怀着极大的热情参加新农合。在本研究中,我们调查了对新型农村合作医疗(新农合)的满意度以及影响对新农合态度的因素。采用分层整群抽样方法随机选取了4303名年龄≥15岁的农村居民作为样本。数据采用百分比、非参数检验和有序回归进行评估。本研究显示,73.2%的受试者对新农合感到满意。单因素分析结果显示,对新农合的态度受性别、年龄、自评健康状况、是否接受过健康检查以及2006年是否住院的影响,差异具有统计学意义(P<0.05)。在有序回归分析中发现,年龄、自评健康状况、是否接受过健康检查以及2006年是否住院等因素对满意度有影响(P<0.05)。

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