新型农村合作医疗制度中的制度供给与农民满意度分析——基于湖北省Z村和X村的调查
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国家社会科学基金一般项目“伦理视域下的农村社会保障制度研究”(13BZX072);教育部人文社会科学青年项目“‘面子’视阈下的农村纠纷及其化解”(10YJC840020)。


An Empirical Analysis of Institutional Supply Theory in the New Rural Cooperative Medical System and Degrees of Farmers’ Satisfaction—— Based on Surveys in Z and X Villages in Hubei Province
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    摘要:

    新型农村合作医疗制度运行的效果,取决于农民对制度运行的客观评价,为了确保制度的可持续发展,必须重视农民的满意度调查。基于湖北省两个村庄的问卷调查数据,运用制度供给理论,实证分析制度供给对农民满意度的作用,厘清新型农村合作医疗制度运行中的制度供给现状和制度供给对农民满意度的作用机理。结果表明:此项制度存在供给不足与期望差距的状况,制度供给对农民的满意度有着显著的作用,其中筹资机制供给对农民的满意度作用最为明显,部门服务供给、医疗服务供给、报销水平供给次之。由此提出建议:制度的设计者应当提高补助资金和报销水平的标准,规范制度执行者的行为,提升医疗机构的服务质量,以此来提升农民对制度运行效果的满意度,促进新农合制度的可持续发展。

    Abstract:

    The effect of the operation of the new rural cooperative medical system depends on the farmers’ objective evaluation of it.In order to insure the sustainable development of the system,great importance must be attached to farmers’ satisfaction survey.Based on statistics from two villages in Hubei Province,this paper attempts to make an empirical analysis of the function of institutional supply theory on farmers’ satisfaction degrees,thus figuring out the current situation of institutional supply and how the institutional supply of the new rural cooperative medical care system functions in farmers’ satisfaction.The result shows that there is a gap between supplies and expectation,and institutional supply means significantly to farmers’ satisfaction. and the financing mechanism supply influences farmers’ satisfaction most,followed by the departmental service supply,the medical service supply and the reimbursement level respectively.Therefore,it concludes that the system designers should improve the level of subsidy and the reimbursement standard,regulate the enforcers’ behaviors and improve the quality of medical institutions’ service to elevate farmers’ satisfaction degrees and ensure the sustainable development of the system.

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方菲,高兴.新型农村合作医疗制度中的制度供给与农民满意度分析——基于湖北省Z村和X村的调查[J].华中农业大学学报(社会科学版),2015(5):89-96

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  • 在线发布日期: 2015-07-21
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