论文部分内容阅读
目的为了解内蒙古少数民族地区新型农村牧区合作医疗现状、存在的问题,提出可持续发展的对策和措施。方法采用分层整群随机抽样的方法,按照地域规模和年收入,选择内蒙古科尔沁区三个乡镇(苏木)各抽取3个村屯进行调查。结果农民对新农合的认知程度很高(99.00%);参合率高(96.55%);满意度高(84.00%);能够报销医药费认知率高(99.00%);只保大病认知率高(93.00%);新型农村合作医疗对缓解家庭负担作用明显(90.98%);认为农牧民应参与新农合管理率高(100.00%);最需要对农牧民进行健康教育认知率高(78.00%);应定期听取农牧民意见率高(62.00%);最迫切需要的服务新农合比率高(77%);加强农村疾病防疫工作认知率高(77.00%);大多数农民表示愿意继续参合(94.30%)。但农民对新农合的期望值较高,认为不能及时报销医药费(83.00%)是其最大的弊端。结论对于新型农村、牧区合作医疗制度绝大多数农牧民比较满意,但新农合可持续发展问题值得重视和研究。
Objective To understand the status quo and existing problems of new rural cooperative medical care in the minority nationality areas in Inner Mongolia, and to put forward countermeasures and measures for sustainable development. Methods A stratified cluster random sampling method was adopted. According to the geographical scale and annual income, three villages (three villages) in Horqin District of Inner Mongolia were selected for investigation. Results The farmers had a high level of awareness of the NCMS (99.00%), the high participation rate (96.55%), high satisfaction (84.00%), high reimbursement of medical expenses (99.00%), (93.00%). The new rural cooperative medical system has obvious effect on alleviating family burden (90.98%). It believes that farmers and herdsmen should participate in NRCMS high rate (100.00%), and most need to educate peasants and herdsmen on health education (78.00%); high opinion rate of peasants and herdsmen (62.00%) should be regularly heard; the rate of new rural cooperative medical services is the highest (77%); the rate of awareness of rural disease epidemic prevention is high (77.00%); Most farmers expressed their willingness to continue participating (94.30%). However, peasants have a high expectation of NRCMS and think that failure to reimburse medical expenses in time (83.00%) is its biggest drawback. Conclusion For the new rural areas, most pastoralists and herdsmen are more satisfied with the cooperative medical system in pastoral areas. However, the issue of sustainable development of NCMS deserves attention and research.