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[目的]利用合作医疗调查数据全面分析农民的参加意愿。[方法]应用二项Logistic回归模型分析影响农民参加意愿的因素及其影响程度。[结果](1)53.70%的农户是由于干部反复动员而参加合作医疗;(2)在农民对合作医疗不满意的原因中,选择费用补偿比例低、保障范围窄和报销手续繁琐的比例分别为54.65%、87.21%和23.26%;(3)对农民参加意愿具有显著性影响的因素有家庭人口数、是否参加过合作医疗以及是否了解合作医疗。[结论]合作医疗工作量大,筹资成本高;保障水平低成为农民不满意合作医疗的首要原因;成本与预期收益比是农民考虑是否参加合作医疗的主要因素。
[Objective] To make a comprehensive analysis of farmers’ willingness to participate by using the survey data of cooperative medical care. [Method] The binary logistic regression model was used to analyze the factors influencing farmers’ willingness to participate and their influence degree. [Results] (1) 53.70% of rural households participated in cooperative medical care because of repeated mobilization by cadres; (2) Among the reasons why farmers were dissatisfied with cooperative medical care, the proportion of choosing compensation for the expenses was low, the scope of protection was narrow, and the reimbursement procedures were cumbersome 54.65%, 87.21% and 23.26% respectively. (3) The factors that have a significant impact on farmers’ willingness to participate include the number of family members, whether they have participated in cooperative medical care and whether they know about cooperative medical care. [Conclusion] The workload of cooperative medical care is high and the cost of financing is high. The low level of security is the primary reason why farmers are not satisfied with cooperative medical care. The cost-to-expected benefit ratio is the main factor for farmers to consider whether to participate in cooperative medical care.