Peking University Health Science Center, School of Public Health, Health Policy and Management Department, Haidian District, Beijing 100191, PR China.
BMC Health Serv Res. 2009 Dec 12;9:230. doi: 10.1186/1472-6963-9-230.
Since 2003, the number of pilot areas of the New Rural Cooperative Medical System (NRCMS) has increased in rural China. And the major efforts have been concentrated on the enrollment of prospective members. In this study, we examined the satisfaction of the rural residents with the NRCMS as well as factors affecting their attitudes towards the NRCMS.
The data for this study were collected from a survey involving twenty counties in Liaoning Province. Interviews and focus groups were conducted between 10th January and 20th August 2008. A total of 2,780 people aged 18-72 were randomly selected and interviewed. Data were evaluated by nonparametric tests and ordinal regression models.
71.6% of the study subjects were satisfied with the NRCMS. Single factor analysis showed that attitudes towards the NRCMS were influenced by gender, age, marital status, and self-rated health status. In the ordinal regression analysis, gender, age, and self-rated health status affect satisfaction (P < 0.05).
We found that a considerable proportion of farmers were satisfied with the NRCMS. Gender, age, and self-rated health status had significant effects on farmers' attitudes towards the NRCMS. The Chinese Central Government attempted to adopt active measures in the future to continuously improve the NRCMS, including initiating educational programs, building new medical facilities and increasing financial investment.
自 2003 年以来，中国农村新型农村合作医疗（NRCMS）的试点地区数量不断增加。主要工作集中在参合人员的招募上。在这项研究中，我们调查了农村居民对 NRCMS 的满意度以及影响他们对 NRCMS 态度的因素。
本研究的数据来自辽宁省 20 个县的一项调查。2008 年 1 月 10 日至 8 月 20 日期间进行了访谈和焦点小组讨论。共随机抽取 2780 名 18-72 岁的人进行访谈。通过非参数检验和有序回归模型对数据进行评估。
71.6%的研究对象对 NRCMS 表示满意。单因素分析表明，对 NRCMS 的态度受到性别、年龄、婚姻状况和自评健康状况的影响。在有序回归分析中，性别、年龄和自评健康状况影响满意度（P<0.05）。
我们发现相当一部分农民对 NRCMS 感到满意。性别、年龄和自评健康状况对农民对 NRCMS 的态度有显著影响。中国中央政府试图在未来采取积极措施，不断完善 NRCMS，包括开展教育项目、建设新的医疗设施和增加财政投入。
