新型农村合作医疗福利性评价指标实证分析

目的:对新型农村合作医疗福利性的就医经济可及性、医疗资源可及性和居民满意度等3个评价指标分别进行实证分析,为改善新型农村合作医疗福利性提供参考借鉴。方法:依据已建立的新型农村合作医疗福利性评价指标及标准,应用综合指数法对新型农村合作医疗福利性3个评价指标分别进行评价。结果:2005年国家卫生部与世界银行联合进行的中国新型农村合作医疗调查中机构调查数据的就医经济可及性、2005年中国卫生统计数据的医疗资源可及性及2010年上海市青浦区运用《我国新型农村合作医疗福利性评价与农民满意度影响因素研究调查表》所获数据的居民满意度的综合评分指数分别为4.661 6、1.721 3及9.174 6。结论:在就医经济可及性(2005年卫生部与世界银行联合进行的中国新型农村合作医疗调查中机构调查数据)及医疗资源可及性(2005年中国卫生统计数据)均较差,而2011年上海市青浦区的居民满意度较高,为进一步提升新型农村合作医疗参合农民的福利性,政府应从立法保障、筹资机制、监管机制及对加强农村卫生事业投入与规范定点医疗机构医疗服务行为四方面做出相应改进。

Empirical Analysis of Evaluating Index of NCMS Welfare

Objectives:To do empirical analysis of evaluating index of New Rural Cooperative Medical System(NCMS) welfare on the accessibility of medical care utilization,availability of health resources and resident satisfaction respectively so as to provide improving policies of NCMS welfare.Methods:Based on the established evaluating index of NCMS welfare and evaluating standards,composite index method is used to evaluate the three evaluating index of NCMS welfare respectively.Results:We got the composite score index of the accessibility of medical care utilization,which used the survey data on medical institutions of China NCMS by Ministry of Public Health jointly with the World Bank in 2005,the availability of health resources which used China’s health statistics in 2005 and resident satisfaction,which used the data we investigated in Qingpu District of Shanghai in 2011,were 4.661 6,1.721 3 and 9.174 6 respectively.Conclusions:The accessibility of medical care utilization which used the survey data on medical institutions of China NCMS by Ministry of Public Health jointly with the World Bank in 2005 and the availability of health resources which used China’s health statistics in 2005 were poor,while resident satisfaction,which used the data we investigated in Qingpu District of Shanghai in 2011 was pretty good.In order to enhance the welfare of the participators of NCMS,the government should improve on legislation,financing mechanisms,regulatory mechanisms,investment in rural health care system and behavior of medical institutions.