Study on the participating farmers'interest demands for the payment system reform in China's new rural cooperative medical care scheme
10.3760/cma.j.issn.1000-6672.2018.05.001
- VernacularTitle:新农合支付方式改革背景下参合农民利益诉求分析
- Author:
Xingguang ZHONG
1
;
Xiaohe WANG
;
Kang ZHENG
;
Wei YANG
;
Yu LI
;
Xianhong HUANG
;
Meng ZHANG
Author Information
1. 310036,杭州师范大学医学院卫生事业管理系
- Keywords:
Health services administration;
New rural cooperative medical care scheme;
Payment system reform;
Participating farmers;
Interest demands
- From:
Chinese Journal of Hospital Administration
2018;34(5):353-358
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the participating farmers'interest demands for NRCMs in order to provide basis for the payment system reform based on the demand side perspective. Methods A cross-sectional study was conducted from September 2016 to February 2017. Multi-stage stratified random sampling was conducted in six counties of three provinces in the eastern, middle and western regions of China. Mathematical statistics analysis was conducted to clarify the interest demands and influencing factors of the participating farmers. Results The interests claims of the 1 452 participating farmers were to improve service quality, to reduce the economic burden of disease, and to standardize the management. The medians found were 4.00, 4.00 and 3.63 respectively. Relative to the flat rate, the DRGs raised higher requirements for standardized medical behaviors offered by the medical workers. Furthermore, it called for effective medical quality supervision, rigorous control of medical costs and highly scientific and standardized management. The differences were statistically significant ( P ＜0.05 ). Conclusions The diversity of participating farmers'interest demands deserves due attention, the payment methods combination should fit local needs, the interests demands expression channel of the participants should be expanded, and the demand side deserves a due role in supervision of the funds.
