沂水县农民参与新型农村合作医疗的意愿研究

发布时间：2019-01-27 15:07

【摘要】：改革开放以来，随着经济的不断发展，人民生活水平得到了很大提高，与此同时中国农村经济社会快速发展起来，农民收入水平不断提高，生活水平显著提高，对医疗卫生水平的需求不断提高。为了满足广大农民的卫生需求，，我国自2002年宣布实行新型农村合作医疗，2004年起新型农村合作医疗在全国开始进行试点工作。被调查地区沂水县自2004年开始实行新型农村合作医疗，经过十年的发展，沂水县基本建立起比较完善的新型农村合作医疗体系，参合人数与参合比例不断提高，医疗卫生水平不断提高，但仍有一部分农民由于种种原因没有参与或不愿参与新型农村合作医疗。研究沂水县新型农村合作医疗存在的问题与农民的参与意愿对于本县新型农村合作医疗的健康发展具有重大意义。本文首先对有关合作医疗发展历史、农村合作医疗发展模式以及农民参与意愿等方面的文献进行了回顾，界定了合作医疗以及新型农村合作医疗等相关概念。从公共产品理论、社会保险理论等几个方面阐述了本文研究的理论基础，同时建立了农民对新型农村合作医疗参与意愿影响因素的实证分析框架。其次通过问卷调查的方式收集了沂水县部分农民的数据，运用SPSS软件的描述性统计分析、因子分析方法对影响农民参与新型农村合作医疗的因素进行研究。研究结果表明：新型农村合作医疗的管理机构存在筹资成本过高和管理成本过高、管理人员素质偏低等问题，新型农村合作医疗的定点医疗机构存在资金缺乏、人才缺乏和人员行为不规范等问题，而新型农村合作医疗制度的报销和补偿制度也存在一些问题，农民自身也存在健康意识淡薄、法律意识淡薄等问题，正是由于这些问题综合起来对新型农村合作医疗的发展产生不利影响。最后，本文还对沂水县新型农村合作医疗发展提出了一些合理建议：首先，不断完善新型农村合作医疗的制度建设，完善相关法律法规、完善筹资机制、完善管理体制和新农合自身建设；其次不断提高新农合的定点医疗机构服务水平，加强医疗队伍建设和硬件设施建设；最后，不断提高农民的科学文化素质和身体健康素质
[Abstract]:Since the reform and opening up, with the continuous development of the economy, the living standards of the people have been greatly improved. At the same time, China's rural economy and society have developed rapidly, the level of peasants' income has been constantly rising, and the standard of living has improved significantly. The demand for medical and health care is constantly rising. In order to meet the health needs of farmers, China announced the implementation of the new rural cooperative medical system in 2002. In 2004, the new rural cooperative medical system began to carry out pilot work in the whole country. The new rural cooperative medical system has been implemented in Yishui County since 2004. After ten years of development, Yishui County has basically established a relatively perfect new rural cooperative medical system, and the number of participants and the proportion of participation in the cooperative medical system have been increasing. The level of medical and health care is improving, but there are still some farmers who do not participate or do not want to participate in the new rural cooperative medical system for various reasons. It is of great significance for the healthy development of the new rural cooperative medical system to study the problems and farmers' willingness to participate in the new rural cooperative medical system in Yishui county. In this paper, the development history of cooperative medical system, the development model of rural cooperative medical system and farmers' willingness to participate are reviewed, and the concepts of cooperative medical system and new rural cooperative medical system are defined. This paper expounds the theoretical basis of this study from the aspects of public product theory and social insurance theory, and establishes an empirical analysis framework of the influencing factors of farmers' willingness to participate in the new rural cooperative medical system. Secondly, the data of some farmers in Yishui County are collected by questionnaire, and the factors influencing farmers' participation in the new rural cooperative medical system are studied by using the descriptive statistical analysis of SPSS software and the method of factor analysis. The research results show that the new rural cooperative medical system has some problems, such as too high financing cost, too high management cost, low quality of management personnel, and lack of funds in designated medical institutions of the new rural cooperative medical system. There are also some problems in the reimbursement and compensation system of the new rural cooperative medical system, and there are also some problems in the farmers' own health awareness and legal awareness. It is because of these problems that the development of the new rural cooperative medical system has a negative impact. Finally, this paper also put forward some reasonable suggestions to the development of new rural cooperative medical system in Yishui county: first, to improve the system construction of the new rural cooperative medical system, to perfect the relevant laws and regulations, and to perfect the financing mechanism. Perfecting the management system and the construction of NCMS itself; Secondly, to improve the service level of the designated medical institutions of NCMS, to strengthen the construction of medical team and hardware facilities; finally, to continuously improve the scientific and cultural quality and physical health quality of farmers
【学位授予单位】：中国海洋大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：F323.89;F842.684;R197.1

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