摘要
为测算出中国农村医疗保障条件的具体水平,并为其建设以及农村医疗保障水平的提高提供参考建议,研究通过主成分分析法从农村医疗条件衡量指标群中提取得到其主要影响因子,并对其进行了分类解释,最终得到测评农村医疗条件的综合指标体系。实证结果表明,选取的指标间具有较强的相关性,且对医疗条件具有较强的代表性,中国现有农村医疗条件的综合指标水平均值为364154.36,仅略高于新农合所能提供的最高医疗条件。这表明,中国农村医疗保障条件水平不高,且主要依靠新农合的发展建设。造成这种现象的原因是由于政府拨款的减少以及医疗机构自身的因素限制。同时,农村社会的建设情况、居民的收入、医疗行为、保险意识也间接影响着农村医疗保障条件的建设。最后结合农村社会的现实情况及居民医疗行为,从加强农村经济建设、加大政府扶持力度、建立农村医疗管理体系以及推进新农合进程等4个方面提出了相关建议。
The objective of this study was to measure the specific level of rural medical security condition inChina, and provide references for the construction and improvement of rural medical security. The maininfluencing factors from rural medical condition index group were extracted by principal component analysis,then the factors were classified, and finally the comprehensive evaluation index system of rural medicalcondition was built. The empirical results showed that there were strong correlations among the selectedindexes which could represent the level of rural medical condition. The average value of the comprehensiveindex representing medical condition at present in rural areas was 364154.36, only slightly higher than thehighest value of the new rural cooperative medical system（NCMS） that could provide. This indicated that thelevel of the rural medical security condition was not high, and mainly relied on the development of NCMS.Besides, the direct cause of this phenomenon was the reduction of government funding and the limiting factorsof medical institutions themselves. The reality of rural social situation, income, medical behavior and insuranceawareness of rural residents also affected the development of rural medical security indirectly. Finally,combining the realities of rural society and the medical behavior of residents, relevant proposals were putforward from the aspects of strengthening rural economic development, increasing the government support,establishing the rural medical management system and promoting the new rural cooperative processes toimprove the level of China＇s rural medical security.
出处
《中国农学通报》
2016年第8期196-200,共5页
Chinese Agricultural Science Bulletin
基金
黑龙江省社科研究规划年度项目"黑龙江省农村居民商业养老保险需求意愿测算研究"(12B305)
黑龙江省自然科学基金项目"黑龙江省农村居民商业养老保险支付意愿分析及支付能力测度"(G201218)
关键词
农村医疗
医疗条件水平
主成分分析
医疗保障体系
rural medical
medical condition level
principal component analysis
medical security system
