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[目的]分析影响贫困地区农民参合意愿变化的因素是为了进一步针对性解决当地农民参加新型合作医疗覆盖面的问题。[方法]进行入户调查,采用分层整群随机抽样法抽取3个乡镇3个相对贫困自然村,每村抽取70户,对农民参加新农合意愿进行调查并比较分析。[结果]该地区贫困农民参加合作医疗意愿出现下降的趋势,由调查对象的95.1%降低为88.6%,影响农民参合变化的影响因素中,住院门诊费用均报销过是保护因素,不定期公布报销情况是危险因素。[结论]为了深入树立农民参加合作医疗的信心,当地政府应加强新型农村合作医疗的宣传力度,加强对合作医疗基金的监管,并加强维护农民对基金使用结果的知情权。
[Objective] To analyze the factors influencing farmers’willing willingness to participate in poverty-stricken areas in order to further solve the problem of local peasants participating in the coverage of new cooperative medical services. [Method] The household survey was carried out. The stratified cluster random sampling method was used to extract 3 relative poor natural villages in 3 villages and towns, and 70 households were selected in each village. The farmers’ willingness to participate in NCMS was investigated and compared. [Results] The willingness of participating poor farmers in this region to decline declined from 95.1% of the respondents to 88.6% of the respondents. Of the factors that affected the changes of farmers’ participation, reimbursement of inpatient outpatient expenses was a protective factor and reimbursement was made from time to time The situation is a risk factor. [Conclusion] In order to deepen the confidence of farmers in participating in CMS, local government should step up publicity of NCMS, strengthen the supervision of cooperative medical funds and strengthen the farmers’ right to know the results of using the funds.