Abstract
BackgroundSince 2003, the number of pilot areas of the New Rural Cooperative Medical System (NRCMS) has increased in rural China. And the major efforts have been concentrated on the enrollment of prospective members. In this study, we examined the satisfaction of the rural residents with the NRCMS as well as factors affecting their attitudes towards the NRCMS.MethodsThe data for this study were collected from a survey involving twenty counties in Liaoning Province. Interviews and focus groups were conducted between 10th January and 20th August 2008. A total of 2,780 people aged 18-72 were randomly selected and interviewed. Data were evaluated by nonparametric tests and ordinal regression models.Results71.6% of the study subjects were satisfied with the NRCMS. Single factor analysis showed that attitudes towards the NRCMS were influenced by gender, age, marital status, and self-rated health status. In the ordinal regression analysis, gender, age, and self-rated health status affect satisfaction (P < 0.05).ConclusionsWe found that a considerable proportion of farmers were satisfied with the NRCMS. Gender, age, and self-rated health status had significant effects on farmers' attitudes towards the NRCMS. The Chinese Central Government attempted to adopt active measures in the future to continuously improve the NRCMS, including initiating educational programs, building new medical facilities and increasing financial investment.
Highlights
Since 2003, the number of pilot areas of the New Rural Cooperative Medical System (NRCMS) has increased in rural China
The development of Chinese rural medical insurance system has gone through three stages: The forming period of the Cooperative Medical System (CMS) (1958-1980s): Before 1958, economic development was slow in rural China
71.6% were satisfied with the New Cooperative Medical System (NCMS), 5.3% were not satisfied, and 23.1% expressed neutral attitudes
Summary
Since 2003, the number of pilot areas of the New Rural Cooperative Medical System (NRCMS) has increased in rural China. The New Cooperative Medical System (NCMS) is a main component of the Chinese new rural medical insurance system. The development of Chinese rural medical insurance system has gone through three stages: The forming period of the Cooperative Medical System (CMS) (1958-1980s): Before 1958, economic development was slow in rural China. In 1958, the National People's Congress of China (NPC) decided that the rural cooperative community, which was based on traditional geographic village, should be built as the most fundamental government agency in rural areas,. The CMS was established in the rural cooperative community to provide basic medical insurance to the community memembers, and in return each member made fixed contribution to CMS every year. The communitymembers were insured by the CMS in (page number not for citation purposes)
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