江西省婺源县农户对新农合认知与满意度的八次动态追踪调查
发布时间：2018-07-26 13:49
【摘要】：目的:为了解农户对新农合实施以来的认知变化趋势和满意度的评价,准确评价新农合的实施效果,并为其改善工作提供相应政策建议。方法:对2003年开始试点的婺源县进行追踪调查,并基于基线调查和八次追踪调查数据进行趋势分析。结果:农户参加新农合比率逐年增高,目前的参合率(99.88%)及知晓率(100%)均达到较高水平,但对具体筹资金额知晓不足;农户到定点医疗机构看过病、报销过门诊费用和住院费用的比例呈逐年上升趋势;农户认为报销公平、公正、公开的比例在第五次追踪调查时(2010年)达到峰值(82.10%),随后下降至第九次的调查最低值(53.07%),差异有统计学意义;农户对新农合医保的整体满意度评价的下降趋势有统计学意义。结论:新农合实施十多年来,其知晓率和参合率均达到较高水平,利用率也在不断提高,但农户对新农合的具体政策依旧了解不够全面和透彻,满意度不断下降,应当引起相关机构的重视,从而改进新农合实施工作的过程和方案,完善新农合医保制度。
[Abstract]:Objective: to evaluate the cognitive change trend and satisfaction of rural households since the implementation of NCMS, evaluate the effect of NCMS accurately and provide corresponding policy suggestions for its improvement. Methods: a tracking survey was carried out in Wuyuan County in 2003, and the trend was analyzed based on the data of baseline survey and eight tracking surveys. Results: the participation rate of farmers in NCMS increased year by year, and the participation rate (99.88%) and awareness rate (100%) reached a higher level, but they did not know enough about the specific amount of financing. The proportion of outpatient expenses and hospitalization expenses increased year by year. The open proportion reached its peak (82.10%) in the fifth tracking survey (2010), then dropped to the lowest value (53.07%) of the ninth survey, the difference was statistically significant, and the trend of farmers' overall satisfaction evaluation of NCMS medical insurance was statistically significant. Conclusion: since the implementation of NCMS for more than ten years, its awareness rate and participation rate have reached a higher level, and the utilization rate has been increasing. However, the farmers' understanding of the specific policies of NCMS is still not comprehensive and thorough, and their satisfaction with NCMS continues to decline. It should be paid attention to by relevant organizations so as to improve the process and scheme of the implementation of NCMS and to perfect the NCMS medical insurance system.
【作者单位】： 南昌大学公共卫生学院;
【基金】：国家自然科学基金项目“新型农村合作医疗公平性研究”(编号:70763007)
【分类号】：F323.89;F842.684;R197.1
本文编号：2146215
[Abstract]:Objective: to evaluate the cognitive change trend and satisfaction of rural households since the implementation of NCMS, evaluate the effect of NCMS accurately and provide corresponding policy suggestions for its improvement. Methods: a tracking survey was carried out in Wuyuan County in 2003, and the trend was analyzed based on the data of baseline survey and eight tracking surveys. Results: the participation rate of farmers in NCMS increased year by year, and the participation rate (99.88%) and awareness rate (100%) reached a higher level, but they did not know enough about the specific amount of financing. The proportion of outpatient expenses and hospitalization expenses increased year by year. The open proportion reached its peak (82.10%) in the fifth tracking survey (2010), then dropped to the lowest value (53.07%) of the ninth survey, the difference was statistically significant, and the trend of farmers' overall satisfaction evaluation of NCMS medical insurance was statistically significant. Conclusion: since the implementation of NCMS for more than ten years, its awareness rate and participation rate have reached a higher level, and the utilization rate has been increasing. However, the farmers' understanding of the specific policies of NCMS is still not comprehensive and thorough, and their satisfaction with NCMS continues to decline. It should be paid attention to by relevant organizations so as to improve the process and scheme of the implementation of NCMS and to perfect the NCMS medical insurance system.
【作者单位】： 南昌大学公共卫生学院;
【基金】：国家自然科学基金项目“新型农村合作医疗公平性研究”(编号:70763007)
【分类号】：F323.89;F842.684;R197.1
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