Will China's Cooperative Medical System fail again? Insight from farmer satisfaction survey

Dados Bibliográficos

ID22945448
AutoresD Chen (0000-0003-1060-1195), Di Chen (0000-0002-9854-8685, Shandong University), Kam Ki Tang (0000-0001-7282-8112, The University of Queensland, autor correspondente), Liangyu Zhao (0000-0003-4513-2528, Shandong University), Ying Zhang (0000-0001-6214-2440, Shandong University)
Ano2015
Volume30
Fascículo2
Páginas251-261
Data de publicação2015-06-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoHealth Promotion International (JOURNAL)
Identificadores do periódicoISSN: 0957-4824 • E-ISSN: 1460-2245
EditoraOxford University Press (OUP) (PUBLISHER)
DOI10.1093/heapro/dat032
PMID23669160
OpenAlexW2163862318
IdiomaEN
Citações recebidas4
Referências citadas39

This paper studied the sustainability of China's New Rural Cooperative Medical System (NCMS) by evaluating the satisfaction rate of its participants-the farmers. The study related the overall satisfaction of the farmers to their satisfaction with the four different aspects of the program. It also identified which personal and program attributes affect the farmers' satisfaction rate. Survey data of 1278 households from 66 counties in Shandong Province of China were collected in 2011 using a multi-stage stratified cluster-sampling method. To overcome the nepotistic barriers in rural China, field surveys in each township were conducted by university students from the same place. Data were analyzed using multiple regressions and structural equation modeling method. The results showed that 86% of the farmers were either satisfied or very satisfied with the NCMS and 82% indicated their intention to continue participating in the program. Aside from its financial benefits, both the publicity and reimbursement procedure of the program were found to be significant factors in influencing the satisfaction of the farmers. Majority of the participants held positive opinions toward the NCMS, contradicting the negative assessments made by many previous studies. Given the high proportion of farmers willing to continue with the program, it is likely to be sustainable in the near future. Greater publicity and education efforts should be made to make the farmers better informed about the program, and measures should be taken to improve its reimbursement procedure and the setting of the premium level.

Business · China · Cluster sampling · Economic growth · Economics · Environmental health · Health care · Political science · Publicity · Reimbursement · Stratified sampling · Sustainability · Healthcare Policy and Management · Healthcare Systems and Reforms · Marketing · Medicine · Patient Satisfaction in Healthcare