卫生软科学
衛生軟科學
위생연과학
Soft Science of Health
2015年
11期
705-707
,共3页
新型农村合作医疗%补偿机制%认知%期望%农村居民
新型農村閤作醫療%補償機製%認知%期望%農村居民
신형농촌합작의료%보상궤제%인지%기망%농촌거민
New Rural Cooperative Medical System%compensation mechanism%cognition%expectation%rural residents
[目的]分析农村居民对合作医疗补偿的认知与期望，并提出完善补偿机制的对策和建议。[方法]应用有序logistic回归分析农村居民对补偿模式选择的影响因素。[结果]85.66%的农村居民认为不应设置起付线，农村居民期望门诊和住院的补偿比例分别达到55%和65%左右，常住人口数、年人均收入、对制度满意情况和所在地区对农村居民选择补偿模式具有显著性影响（P＜0.05）。[结论]应进一步完善合作医疗补偿机制，如适当设置起付线、合理分割门诊和住院统筹基金、建立多层次的农村医疗保障体系、提高农村流动人口医疗补偿的水平等。
[目的]分析農村居民對閤作醫療補償的認知與期望，併提齣完善補償機製的對策和建議。[方法]應用有序logistic迴歸分析農村居民對補償模式選擇的影響因素。[結果]85.66%的農村居民認為不應設置起付線，農村居民期望門診和住院的補償比例分彆達到55%和65%左右，常住人口數、年人均收入、對製度滿意情況和所在地區對農村居民選擇補償模式具有顯著性影響（P＜0.05）。[結論]應進一步完善閤作醫療補償機製，如適噹設置起付線、閤理分割門診和住院統籌基金、建立多層次的農村醫療保障體繫、提高農村流動人口醫療補償的水平等。
[목적]분석농촌거민대합작의료보상적인지여기망，병제출완선보상궤제적대책화건의。[방법]응용유서logistic회귀분석농촌거민대보상모식선택적영향인소。[결과]85.66%적농촌거민인위불응설치기부선，농촌거민기망문진화주원적보상비례분별체도55%화65%좌우，상주인구수、년인균수입、대제도만의정황화소재지구대농촌거민선택보상모식구유현저성영향（P＜0.05）。[결론]응진일보완선합작의료보상궤제，여괄당설치기부선、합리분할문진화주원통주기금、건립다층차적농촌의료보장체계、제고농촌류동인구의료보상적수평등。
Objective To analyze the cognition and expectation of rural residents to new rural cooperative medical system compensation, and put forward countermeasures to perfect compensation mechanism.Methods Analyzes the influencing factors of rural residents to select compensation mode by ordinal logistic regression.Results 85.66% rural residents deemed that deductible should be canceled. Rural residents expected that the compensation ratio of outpatient and inpatient service could reach about 55% and 65% respectively. Permanent residence population, per capital annual income, satisfaction of system and district had significant influencing to select compensation mode(P<0.05). ConclusionsThe compensation mechanism should be further perfected. Such as setting up deductible properly, segmenting consolidated funds between outpatient and inpatient service reasonably, establishing multilevel rural medical security system, improving the level of medical compensation to rural floating population and so on.
