心理距离、农户满意度与新农合绩效评估——以河南省为例

Research on Satisfaction of New Rural Cooperative Medical Scheme from the Perspective of Psychological Distance——Taking Henan Province as an Example

笔者构建了基于心理距离的新农合农户满意度测评模型,利用河南省18个省辖市1244个农户的调查数据,运用潜变量分析法,考察在两种心理距离状态下参合农户满意度的内在影响因素及其差异性。研究结果表明,当农户与新农合制度心理距离较远时,农户预期与新农合制度的满意度负相关,当农户与新农合制度心理距离较近时,农户预期与新农合制度的满意度正相关;新农合农户满意度随着感知质量与感知价值的提高而提高;参合农户与新农合医疗机构的接触程度对新农合满意度评价没有显著影响。因此,要提升新农合制度的运行绩效,就不能仅局限于提高新农合制度的质量与价值,还应加大力度引导农户产生更高的预期,以期在高绩效与高预期中推进新农合制度的发展。

This paper uses the survey data of 1244 farmers in 18 cities of Henan Province, using structure equation modeling （SEM） to study inner factors of the farmers＇ satisfaction and its differences. The results show that when the psychological distance is not the same, farmers＇ expectations are different and the satisfactions are different too. When the psychological distance is close, farmers＇ ex- pectations are positively COiTelated. The NRCMS satisfaction increases with the perceived quality and perceived value. To improve the performance of the NRCMS, it needs not only to improve the quality and value of the NRCMS, but should focus on how to induce farm- ers to produce higher expectations, in order to promote the development of the NRCMS in the high performance and high expectations.