Study on the doctor-patient interest demands satisfaction of the payment system reform in China's new rural cooperative medical care scheme
10.3760/cma.j.issn.1000-6672.2018.05.002
- VernacularTitle:新农合支付方式改革背景下医患双方利益诉求满意度分析
- Author:
Wenqin CHEN
1
;
Meng ZHANG
;
Xingguang ZHONG
;
Xiaohe WANG
;
Hongyan JI
;
Liqiang DU
;
Libin FAN
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;
Interest demands;
Satisfaction
- From:
Chinese Journal of Hospital Administration
2018;34(5):359-365
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study doctor-patient interest demands satisfaction and its influencing factors of the payment system reform of the new rural cooperative medical care scheme to provide reference for the reform. Methods Cross-sectional survey was conducted from September 2016 to February 2017. Multi-stage stratified random sampling was used in six counties of three provinces in the eastern, middle and western regions of China, and mathematical statistics was applied to analyze the data. Results The doctor-patient overall interest demands satisfaction was high, but the satisfaction was lower both with the income and ability improvement of medical staff and with the benefits of farmers. The influencing factors of the satisfaction of managers in medical institutions included the type of payment, educational level and work unit (P＜0.05). The influencing factors of medical staff's satisfaction included the type of payment, work unit, and working years among others(P＜0.05). The influencing factors of farmers'satisfaction included the type of payment and the average annual income, etc(P＜0.05). Conclusions The core interest demands of both doctors and patients should be valued to enhance their satisfaction. Diseases related groups should be promoted and applied scientifically, and appropriately integrated with other methods of payment. Both doctors and patients'understanding of the payment reform should be improved by propaganda and training, to get their support and cooperation.
