Factors associated with enrollment, satisfaction, and sustainability of the New Cooperative Medical Scheme program in six study areas in rural Beijing
Factors associated with enrollment, satisfaction, and sustainability of the New Cooperative Medical Scheme program in six study areas in rural Beijing
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DOI：
10.1016/j.healthpol.2007.06.003
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发表时间：
2008-01-01
期刊：
影响因子：
3.3
通讯作者：
Dupre, Matthew Egan
中科院分区：
文献类型：
--
作者：
Wang, Hongman;Gu, Danan;Dupre, Matthew Egan
目的：本研究考察了北京农村六个研究区新型合作医疗项目的参保率、满意度和可持续性的相关因素。方法：数据来自于对北京六个农村县区的 890 个家庭中 890 名 15-88 岁的人进行随机访谈。结果：多层次模型的结果表明，性别、社会经济地位、对政策的充分了解、主观保费缴纳、主观自付率和需求与入学有显着相关性。我们进一步发现，新农合项目的可持续性仅与对政策的了解和对项目整体绩效的满意度显着相关。结论：新农合项目应通过不同的媒体渠道进一步推广。要拓展服务种类，包括基本医疗和其他特色服务，满足农村人口的不同需求。此外，新农合的实施应加强对制度运行的监督，并考虑当地社区的特点。 (c) 2007 Elsevier Ireland Ltd. 保留所有权利。
Objective: This study examines the factors associated with the enrollment, satisfaction, and sustainability of the New Cooperative Medical Scheme (NCMS) program in six study areas in rural Beijing.Methods: Data come from a sample of 890 persons aged 15-88 from 890 households who were randomly interviewed from six rural counties/districts in Beijing.Results: Findings from multi-level models indicate that gender, socioeconomic status, adequate knowledge about the policy, subjective premium contribution, subjective co-payment rates, and need are significantly associated with enrollment. We further find that the sustainability of the NCMS program is only significantly related to knowledge about the policy and satisfaction with the overall performance of the program.Conclusion: The NCMS program should be further promoted through different media avenues. It is also necessary to expand the types of services to include basic medical care and other specialized services to meet the different needs of the rural population. In addition, supervision of the system's performance should be enhanced and characteristics of the local community should be considered in the implementation of the NCMS. (c) 2007 Elsevier Ireland Ltd. All rights reserved.