河南省农村居民疾病防控交费意愿及其影响因素调查与分析

Investigation on the Rural Residents' Payment Will for Disease Control and Its Influencing Factors in Henan Province

目的问卷调查河南省农村居民对疾病预防控制工作交费意愿及其影响因素,为政府制定疾病预防控制工作与新型农村合作医疗(新农合)制度相结合的政策提供依据。方法采用自拟问卷,抽样调查河南省19个县(市、区)44个乡镇156个村的1 117名农村居民。采用SPSS 11.5软件进行频数分析和多因素回归分析。结果在现有新农合交费制度的基础上,愿意为疾病预防控制工作再交费者占68.3%,愿意交纳1元及以上者占62.3%,平均愿意交纳3.01±7.66元。多因素回归分析发现:个体经营者、中专文化程度者、家庭仅由夫妇二人组成者、回答新农合减轻了自己很多就医经济负担者,均愿意多交费。结论实行乡村疾病预防控制工作与新农合相结合的农村卫生工作政策,可以采用在现有新农合交费制度的基础上再向农村居民收取少量费用的方式。继续做好新农合工作,更大程度减轻农村居民就医经济负担是实施此项卫生工作政策的基础。在实施政策时,应当依据职业、文化程度、家庭构成方式等特征照顾低收入家庭。

Objective To investigate the rural residents＇ payment will for disease control and its influencing factors, so as to provide evidence for the government to make policy of combing disease control and New Rural Co-operative Medical system （NRCMS）. Methods The self-designed questionnaire was adopted to investigate 1 117 rural residents from 156 villages, 44 towns, 19 counties （cities, districts） in Henan province. The frequency analysis and the multiple logistic regression analysis were conducted by using SPSS 11.5 software. Results On the basis of NRCMS payment, 68.3% of the rural residents were willing to pay extra for disease control, 62.3% of whom were willing to pay RMB 1.00 or more, and the average willing payment were RMB 3.01±7.66. The multiple logistic regression analysis revealed that the people willing to pay extra were as follows： self-employed, graduates from a secondary technical school, dink family, and the respondents who believed NRCMS had relieved their medical financial burden. Conclusion In practicing the rural public health policy of combining disease control and NRCMS, it is suggested to ask rural residents to pay a little extra money on the basis of current NRCMS payment. The foundation of bringing this policy into force is to keep practicing NRCMS well so as to relieve more financial burdens for rural residents. During the implementation, low income families should be taken into consideration according to their occupation, educational level and family structure.