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目的:从农村居民意向角度评价新型农村合作医疗。方法:从筹资水平、满意程度、未参合农村居民的意愿和已参合农村居民(以下简称参合农民)续保情况4个方面评价2个试点县(秀洲区、开化县)和1个对照县 (常山县)3地的新型农村合作医疗实施情况。结果:(1)98．8％的农村居民能够承受目前的筹资水平,其中秀洲区为 99．0％,开化县为99．3％,常山县为98．8％;(2)对新型农村合作医疗不满意、持否定态度的农村居民比例仅为2．8％, 其中秀洲区和开化县皆为1．8％,对照县常山县略高,为5．1％;(3)40．5％的参合农民认为新型农村合作医疗能解决倾家荡产问题,其中秀州区为39．2％,开化县为39．3％,常山县为43．0％;(4)未参合农村居民期望新型农村合作医疗报销要方便,其中秀洲区未参合农村居民更为强调方案解决因病致贫的效果:(5)大部分新型农村合作医疗参合农民表达了续保意愿,明确表示不续保的比例仅为3．0％,其中秀洲区为1．5％,开化县为1．8％,常山县为5．7％。结论: (1)秀洲区、开化县农村居民对新型农村合作医疗有较高评价,常山县次之;(2)新型农村合作医疗有必要增加筹资,而且增加筹资是可行的。
Objective: To evaluate new rural cooperative medical care from the perspective of rural residents’ intentions. Methods: Two pilot counties (Xiuzhou District, Kaihua County) and one control county were evaluated in terms of fundraising level, satisfaction level, the willingness of non-participating rural residents, and the participation of rural residents (hereinafter referred to as farmers) in four aspects of renewal of insurance. (New Changshan County) Implementation of New Rural Cooperative Medical Care. Results: (1) 98.8% of rural residents can afford the current level of funding, including 99.0% in Xiuzhou District, 99.3% in Kaihua County, 98.8% in Changshan County, and (2) the new model. The proportion of rural residents with unsatisfactory rural cooperative medical care and negative attitudes was only 2.8%, of which Xiuzhou District and Kaihua County were both 1.8%, and the control county, Changshan County, was slightly higher at 5.1%; (3) 40.5% of participating farmers believe that the new rural cooperative medical care can solve the problem of bankruptcy, including 39.2% in Xiuzhou District, 39.3% in Kaihua County, and 43.0% in Changshan County; (4) Unincorporated rural residents It is expected that the new type of rural cooperative medical treatment reimbursement should be convenient. Among them, the uninvolved rural residents in Xiuzhou District are more emphasizing the solution to the problem of poverty caused by illness: (5) Most of the new rural cooperative medical care providers have expressed their willingness to renew their insurance, and they clearly indicated that they are not continuing. The percentage of insurance is only 3.0%, of which Xiuzhou District is 1.5%, Kaihua County is 1.8%, and Changshan County is 5.7%. Conclusions: (1) Rural residents in Xiuzhou District and Kaihua County have a higher evaluation of new rural cooperative medical care, followed by Changshan County; (2) It is necessary for new rural cooperative medical care to increase funding, and it is feasible to increase fundraising.