基于农户视角的新型农村合作医疗满意度的实证分析

新型农村合作医疗2003年起在试点县进行推行，现已进人全面推广阶段。随着新型农村合作医疗的进一步改革和完善，农户对其满意度问题更加关注。基于农户视角，抽取了河北鹿泉市3个村庄，178个农户的相关数据，建立多元线性回归模型对影响满意度的因素进行分析。研究表明：影响农户对新型农村合作医疗满意度的因素包括农户对新型合作医疗的认知程度、在定点医疗机构的就诊情况、农户的个人特征信息和农户的家庭经济状况，其中影响较为显著的因素是家庭成员健康状况、家庭经济状况在全村所处的水平、亲戚朋友互助关系。提出了加大筹资力度，提高保障水平；加大对贫困户的医疗保障；改善定点医疗机构的硬件设施，稳定医疗服务价格等建议。

Empirical Analysis on Satisfaction of New Rural Cooperative Medical System from Perspective of Farmers

New rural cooperative medical system was implemented in experimental counties in 2003 and now it has been comprehensively promoted. With the further reform and perfection of new rural cooperative medical system,the problems about farmers＇ satisfaction have attracted more and more atten- tion. This paper surveyed 178 farmers in 3 villages in LuQuan city, Hebei province from the perspective of farmers＇ satisfaction. Through establishing multilinear regression model, the significant factors affect- ing satisfaction are analyzed. The results showed that factors affecting farmer＇s satisfaction with new ru- ral cooperative medical system include farmer＇s cognitive degree about new rural cooperative medical system,the treatment in the designated medical institutions, farmer＇s personal characteristics and farm- er＇s family economic status, among which the significant factors include the health status of family members,the economic level in the village and the mutual relationship of the relatives and friends. According to the results, this paper put forward several corresponding suggestions that the government should raise funds, increase medical guarantee for rural poverty-stricken households, and better hard- wares in medical institution,and stablize medical service price.