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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。
OBJECTIVE: To conduct an empirical analysis of the three evaluation indexes of the welfare of the new rural cooperative medical system, such as the accessibility of medical treatment, the availability of medical resources and the satisfaction of residents, so as to provide reference for improving the welfare of new rural cooperative medical care. Methods: According to the established new rural cooperative medical welfare evaluation index and standard, the comprehensive index method was used to evaluate the three evaluation indexes of new rural cooperative medical welfare. Results: The accessibility of the medical survey data of China’s new rural cooperative medical system survey conducted by the Ministry of Health and the World Bank in 2005, the availability of medical resources in China’s health statistics in 2005 and the utilization of Qingpu District in Shanghai in 2010 The comprehensive rating index of residents ’satisfaction with the “Questionnaire on the Welfare Evaluation of New-type Rural Cooperative Medical Care in China and the Factors Influencing Farmers’ Satisfaction” were 4.661 6, 1.721 3 and 9.174 6 respectively. Conclusions: Accessibility to medical care (institutional survey data from China’s new rural CMS survey conducted by the Ministry of Health and the World Bank in 2005) and accessibility of medical resources (China’s health statistics 2005) are poor, while 2011 In order to further improve the welfare of farmers participating in the new rural cooperative medical system, the government should take legislative protection, financing mechanism and supervision mechanism as well as measures to strengthen the rural health service input and regulate the medical service of designated medical institutions Four aspects to make corresponding improvement.