新型农村合作医疗的实施效果分析——以山西省为例的实证研究

Implementation effect analysis of new rural cooperative medical —— Take Shanxi province as empirical study

[目的]分析农民对新型农村合作医疗制度实施效果的评价,在此基础上提出相应的改进措施,为新型农村合作医疗制度的可持续运行提供保障。[方法]在归纳山西省新农合实行现状的基础上,利用分层抽样方法,选取山西省三个地级市进行问卷调查,根据分析结果总结出现的问题。[结果]参合农民对新农合医保卡的使用率低;参合农民报销费用低;参合农民的就医场所偏向于乡镇卫生院及县级医院。[结论]新农合实施效果不理想,应该合理完善补偿机制;提高医疗机构服务水平;增强宣传的时效性。

Objective This article analyzes the farmers to implement the new rural cooperative medical system evaluation results, propose appropriate measures to improve on this basis, to provide protection for the sustainable operation of the new rural cooperative medical system. Method In the implementation of the new rural cooperative Shanxi summarized the status quo, based on the use of stratified sampling method to select three prefecture-level city in Shanxi questionnaire, summarizes the results of the analysis problems. Results Participating farmers in the new rural cooperative medical insurance card use is low;reimbursement low participation of farmers;the participation of farmers in favor of medical establishments and county hospitals and township hospitals and other issues. Conclusions Sound reasonable compensation mechanism;improve the level of medical services;enhance the timeliness of publicity.