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目的:通过采取随机抽样法对湖南省5个市20个乡2500名农民进行问卷调查,调查其对新型农村合作医疗满意度,对新型农村合作医疗制度的认识程度以及该政策在实践运行中存在的不足,并针对问题提出相应建议。方法:抽样的2500名调查对象来自湘乡市、衡阳市、益阳市、邵阳市和怀化市,调查内容有对新型农村合作医疗制度的满意度,对新农合执行过程的满意度,对政策的意见看法,采用卡方检验方法。结果:对新农合制度的满意度为94%,对新型农村合作医疗制度执行过程的满意度57.5%,集中反映了10个问题。结论:为了提高农民对新型农村合作医疗制度执行过程的满意度,缓解农民“因病返贫,因病致贫”现象,改变农民“看病难,看病贵”现状,政府部门应加大对医疗卫生服务财政支持力度与监管力度,规范医疗行为,同时医务人员加强自身医德修养,减少农民不必要的医疗卫生经济支出并减轻农民负担。
Objective: To investigate the satisfaction of new rural cooperative medical system, the degree of understanding of the new rural cooperative medical system and the existence of the policy during the practice by taking a random sample of 2 500 peasants from 20 townships in 5 cities of Hunan Province Deficiencies, and make recommendations on the issue. Methods: The surveyed 2,500 respondents were from Xiangxiang City, Hengyang City, Yiyang City, Shaoyang City and Huaihua City. The contents of the survey included satisfaction with the new rural cooperative medical system, satisfaction with the implementation of NCMS, Opinion, the use of chi-square test. Results: Satisfaction with the NRCMS was 94%, satisfaction with the implementation of the NCMS was 57.5%, and 10 questions were concentrated. Conclusion: In order to improve farmers’ satisfaction with the execution of new-type rural cooperative medical system and alleviate peasants’ “poverty caused by illness, cause poverty due to illness” and change peasants’ status of “difficult to see a doctor and expensive doctor”, the government departments should add Large financial support for medical and health services and regulatory efforts to regulate the medical behavior, while medical personnel to strengthen their own medical ethics, reduce unnecessary medical and health expenditure on farmers and reduce the burden on farmers.