陕西省新农合保障能力综合评价——来自陕西省687户微观数据的调研

Evaluation of Security Capability of New Rural Cooperative Medical Care System From the Perspective of Farmers

近年来,随着新农合制度的普及和国家对农村医疗事业投入的加大,农村医疗卫生保障能力有了显著的提高;通过对陕西省687户参合农民的调研表明,农民对新农合制度的保障能力整体评价较高,总体评价为具有"较强"和"很强"的就医保障能力的合计达65.37%。基于利益相关者理论,构建新农合医疗保障能力评价体系,结合熵值法和层次分析法进行指标权重的确定,利用模糊评价法对陕西地区新农合保障能力进行评价。结果显示该地区参合农民对新农合制度的就医保障能力整体评价为较强水平,定点医疗机构的保障能力评价为"较差",地方政府机构和新农合经办机构的保障状况分别评价为"一般"、"较强"水平。结论认为,陕西地区要进一步提高新农合对农民的就医保障能力,应提高定点医疗机构的就医保障,健全医疗基础设施,提高医护人员的技术与服务水平,加强政府的监管力度。

In recent years, with the development of new rural cooperative medical care system （NRCMS） and the increasing investment in rural healthcare, farmers＇ medical situation has been significantly improved. Accord ing to the research of 687 farmers in Shaanxi province, the policy of NRCMS has been highly evaluated, 65.37G of respondents believed that they benefited from the NRCMS greatly. Based on the methods of entropy and AHP, this paper selected 21 factors to evaluate the security capability of the NRCMS form the perspective of participating farmers, and the indexes of factors have been calculated. The results shows that the support capability of govern ment and the cooperative medical service agencies are good, while the designated medical institutions are not good. To further improve the new rural cooperative medical support capability, Shaanxi should take some measures： to increase investment in health infrastructure construction, to train more medical care workers with professional qualifications, and to strengthen the supervision of medicines.