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目的:了解九江地区农村老年人对实施新型农村合作医疗制度的满意度及影响因素,为完善农村老年人就医政策提出建议。方法:通过随机抽样的方法,以246名农村老年人为对象,通过问卷调查与访谈获取信息。结果:实施新农合前后,调查对象的满意度提高差异有统计学意义(P<0.05),其主要影响因素包服务态度、服务技术、看病费用、药品价格、就诊环境、就诊方便度、报销手续等。结论:实施新农合后,农村老年人对目前就医状况的满意度有所提高,但在报销比例、药品价格、报销范围、报销手续、就医环境等方面有待调整和改善。
Objective: To understand the satisfaction and influencing factors of rural elderly in Jiujiang on the implementation of the new rural cooperative medical system, and to provide suggestions for improving the policy of medical treatment for the elderly in rural areas. Methods: A total of 246 rural elderly people were interviewed by means of questionnaires and interviews through random sampling. Results: Before and after the implementation of NCMS, there were significant differences in satisfaction among the surveyed patients (P <0.05). The main influencing factors included service attitude, service technology, cost of medical treatment, price of medicines, treatment environment, medical convenience, reimbursement Procedures and so on. Conclusion: After the implementation of NCMS, the satisfaction of the elderly in rural areas for current medical treatment has been improved. However, the reimbursement ratio, the price of drugs, the scope of reimbursement, reimbursement procedures and medical environment need to be adjusted and improved.