摘要
目的选点抽样调查参合农民对新型农村合作医疗(新农合)的满意度,分析影响满意度的因素,为我国特别是成都地区优化和改进新农合实施方案提供决策参考。方法计算机单纯随机抽取温江区3个乡镇作为调查对象,采用走村入户与农民面对面访谈的方式随机对温江5％参合农户户主用自制问卷调查表进行调查。分别采用Epidata 3．0和ISPSS 11．5软件进行数据录入和统计分析。结果共发放问卷2 500份,收回有效问卷2 438份(有效率97．56％)。58．1％的农户对新农合总体满意,逐步logistic多元回归分析发现,参合意愿(自愿、随大流、其他)(偏回归系数B=-3．54,P=0．014)与对现有报销比例的满意度(偏回归系数B=-4．62,P=0．018)是影响参合农民对新农合总体满意度的最重要因素。结论加大新农合宣传力度,合理设定补偿方式及比例,提高农民自愿参合率及参合农民受益度,对于提高新农合质量和绩效具有重要作用。
Objective To investigate the satisfaction of participants in Wenjiang District of Chengdu regarding the New-style Rural Cooperative Medical Care （NRCMC）, and to analyse its factors in order to help the decision makers optimize and improve the scheme in the future.
Methods Three towns of Wenjiang District were selected for study by computer simple random sampling. Five percent of NRCMC participants were randomly selected in Wenjiang for a face-to-face interview using a questionnaire. Data entry and statistical analysis were completed by Epidata 3.0 and SPSS 11.5 respectively.
Results A total of 2 500 questionnaires were conducted for face-to-face interviews, and 2438 questionnaires were returned （response rate 97.6%）; 58% participants were satisfied with NRCMC, and the results of stepwise multiple logistic regression analysis indicated that their desire to participation （partial regression coefficient B=-3.54, P=0.014） and the satisfaction with the present compensation proportion （partial regression coefficient B=-4.62, P=.018） were the most important factors that influenced the total satisfaction with NRCMC.
Conclusion It is of great significance to strengthen the promotion of NRCMC; reasonably establish the compensation mode and proportion; encourge voluntary participation for the sake of their benefits to improve the quality and performance of NRCMC.
出处
《中国循证医学杂志》
CSCD
2006年第12期855-861,共7页
Chinese Journal of Evidence-based Medicine
基金
四川大学华西临床医学院
四川大学团委为本研究提供了部分资金资助。
关键词
新型农村合作医疗
农民
满意度
调查
成都市
New-style Rural Cooperative Medical Care
Farmer
Satisfaction
Survey
Chengdu
