乡村振兴视角下农民对新农合满意度影响因素研究——来自全国2 152个农户的微观数据

doi:10.3969/j.issn.1004-1524.2023.02.25

浙江农业学报 ›› 2023, Vol. 35 ›› Issue (2): 477-488.DOI: 10.3969/j.issn.1004-1524.2023.02.25

• 农业经济与发展 • 上一篇

乡村振兴视角下农民对新农合满意度影响因素研究——来自全国2 152个农户的微观数据

吴中安(), 徐瑜潞, 陈凡()

宁波大学中国乡村政策与实践研究院,浙江宁波 315211

收稿日期:2021-12-27 出版日期:2023-02-25 发布日期:2023-03-14
通讯作者: 陈凡
作者简介:*陈凡,E-mail:chenfan@nbu.edu.cn
吴中安(1994—),男,浙江宁波人,硕士,研究方向为农村产业经济与政策。E-mail:wza0821@163.com
基金资助:
中国工程院咨询项目“乡村公共事务与公共安全治理现代化战略研究”(2019-ZD-35-02)

Study on influencing factors of farmers’ satisfaction with new rural cooperative medical system from perspective of rural revitalization: microscopic data from 2 152 farmers across China

WU Zhong’an(), XU Yulu, CHEN Fan()

Chinese Institute for Policy and Practice of Rural Development, Ningbo University, Ningbo 315211, China

Received:2021-12-27 Online:2023-02-25 Published:2023-03-14
Contact: CHEN Fan

摘要/Abstract

摘要：

人们对美好生活的向往是乡村振兴的关键衡量指标,农民对新农合满意度评价影响到农民对于乡村振兴建设的满意度。本文关注乡村振兴视角下,农民对新农合满意度影响因素,利用全国2 152个农户入户调查数据,采用Eveiws软件对数据进行了有序Logistic回归分析,结果表明:整体上农民对新农合满意度高于不满意度比例,55%对新农合表示满意,37%则对新农合持有一般态度;年龄、文化程度、农民纯收入对新农合满意度具有显著正向作用,说明提升文化程度以及改善人民收入,有利于提升新农合满意度;通过网络获取医疗信息便利度对新农合满意度有显著正向影响,表明互联网的使用,强化了农民信息获取、便利了农民之间的交流,从而带动了人们对农村新农合的满意度;比照东北区域村庄,东部区域和中部区域村庄居民对新农合满意度要低一些。

关键词: 公共卫生, 新型农村合作医疗, 农民, 满意度

Abstract:

People’s yearning for a better life is a key indicator of rural revitalization, and the evaluation of farmers’ satisfaction with the new rural cooperative medical system (NRCMS) affects farmers’ satisfaction with the construction of rural revitalization. This paper focused on the influencing factors of farmers’ satisfaction with NRCMS from the perspective of rural revitalization. Eveiws software was used to perform an ordered Logistic regression analysis on the data of 2 152 peasant households nationwide. The results showed that: On the whole, the proportion of farmers’ satisfaction with NRCMS was more than dissatisfaction, 55% were satisfied with NRCMS, 37% had a general attitude towards NRCMS. Age, education level and farmers’ net income had a significant positive effect on the satisfaction of NRCMS, indicating that strengthening policy publicity, enhancing education level and improving people’s income were conducive to improving the satisfaction of NRCMS. The convenience of obtaining medical information through the internet and whether villages have established wechat groups had a significant positive impact on the satisfaction of NRCMS, indicating that the use of the internet strengthened farmers’ access to information and facilitated communication among farmers, thus driving people’s satisfaction with NRCMS. Compared with villages in northeast China, residents in eastern and central China were less satisfied with NRCMS.

Key words: public health, new rural cooperative medical service, farmer, satisfaction

中图分类号:

S-09

吴中安, 徐瑜潞, 陈凡. 乡村振兴视角下农民对新农合满意度影响因素研究——来自全国2 152个农户的微观数据[J]. 浙江农业学报, 2023, 35(2): 477-488.

WU Zhong’an, XU Yulu, CHEN Fan. Study on influencing factors of farmers’ satisfaction with new rural cooperative medical system from perspective of rural revitalization: microscopic data from 2 152 farmers across China[J]. Acta Agriculturae Zhejiangensis, 2023, 35(2): 477-488.

图/表 8

参考文献 17

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变量 Variable	变量名称 Variable name	含义 Implication			均值 Mean value		标准差 Standard deviation	最小值 Minimum value	最大值 Maximum value
被解释变量 Interpreted variable	新农合满意度 Satisfaction of the new rural cooperative medical system(Y)	非常不满意Very dissatisfied=1;比较不满意Quite dissatisfied=2;一般Ordinary=3;比较满意Quite satisfied=4;非常满意Very satisfied=5			3.569		0.845	1	5
解释变量 Explanatory variable	性别Gender(X₁)	男Male=1;女Female=2			0.536		0.499	0	1
个体特征 Individual characteristics	年龄Age(X₂)	18岁以下Under 18 years old=1;18~25岁18-25 years old=2;26~30岁26-30 years old=3;31~40岁31-40 years old=4;41~50岁41-50 years old=5;51~60岁51-60 years old=6;60岁以上Over 60 years old=7			4.688		1.583	1	7
	文化程度 Educational level(X₃)	小学及以下Primary school and below=1;初中Junior high school=2;高中/中专/技校High school/technical secondary school/technical school=3;大专/本科College/undergraduate=4;研究生及以上Postgraduate and above=5			2.430		1.081	1	5
	是否是村干部 Village cadre or not(X₄)		是Yes=1;否No=0	0.059		0.236		0	1
	是否是党员 Party member or not(X₅)		是Yes=1;否No=0	0.164		0.370		0	1
经营性特征 Operational characteristics	收入是否来源于种植业Whether the income comes from the planting industry(X₆)		是Yes=1;否No=0	0.171		0.376		0	1
	家庭个人纯收入 Individual net income of family (X₇)		5 000元以下Less than 5 000 yuan=1;5000~<1万元5 000-<10 000 yuan=2;1万~<1.5万元10 000-<15 000 yuan=3;1.5万~<2万元15 000-<20 000 yuan=4;2万~3万元,20 000-30 000 yuan=5;3万元以上More than 30 000 yuan=6	3.654		1.902		1	6
专业化特征 Specialization characteristics	医务人员的服务态度满意程度Satisfaction degree of service attitude of medical staff(X₈)		非常不满意Very dissatisfied=1;比较不满意Quite dissatisfied=2;一般Ordinary=3;比较满意Quite satisfied=4;非常满意Very satisfied=5	3.769		1.243		1	5
	住院费用结算是否便利Whether the settlement of hospitalization expenses is convenient(X₉)		非常不满意Very dissatisfied=1;比较不满意Quite dissatisfied=2;一般Ordinary=3;比较满意Quite satisfied=4;非常满意Very satisfied=5	3.321		0.885		1	5
	新农合报销标准Reimbursement standard of new rural cooperative medical system(X₁₀)		非常不满意Very dissatisfied=1;比较不满意Quite dissatisfied=2;一般Ordinary=3;比较满意Quite satisfied=4;非常满意Very satisfied=5	3.135		0.782		1	5
外部特征 External characteristics	是否安装了网络Whether the network is installed(X₁₁)		是Yes=1;否No=0	0.841		0.366		0	1
	通过网络获取信息的便利程度Whether the network is installed to facilitate access to information through the network(X₁₂)		非常好Very good=1;比较好Quite good=2;一般Ordinary=3;比较不好Not good=4;非常不好Very bad=5	3.669		0.901		1	5
	是否建立了村庄微信群Whether the village WeChat group has been established(X₁₃)		是Yes=1;否No=0	0.732		0.443		0	1
	与最近城镇的距离 Distance from the nearest town(X₁₄)		1 km以内Within 1 km=1;1~<3 km 1-<3 km=2;3~<5 km 3-<5 km=3;5~10 km 5-10 km=4;10 km以上More than 10 km=5	2.026		0.972		1	4
	与最近医院的距离 Distance from the nearest hospital(X₁₅)		1 km以内Within 1 km=1;1~<3 km 1-<3 km=2;3~<5 km 3-<5 km=3;5~10 km 5-10 km=4;10 km以上More than 10 km=5	2.721		1.009		1	4
地理位置 Geographical position	东部区域 Eastern region(X₁₆)		是Yes=1;否No=0	0.627		0.611		0	1
	中部区域 Central region(X₁₇)		是Yes=1;否No=0	0.262		0.440		0	1
	西部区域 Western region(X₁₈)		是Yes=1;否No=0	0.146		0.353		0	1

变量 Variable	变量名称 Variable name	含义 Implication			均值 Mean value		标准差 Standard deviation	最小值 Minimum value	最大值 Maximum value
被解释变量 Interpreted variable	新农合满意度 Satisfaction of the new rural cooperative medical system(Y)	非常不满意Very dissatisfied=1;比较不满意Quite dissatisfied=2;一般Ordinary=3;比较满意Quite satisfied=4;非常满意Very satisfied=5			3.569		0.845	1	5
解释变量 Explanatory variable	性别Gender(X₁)	男Male=1;女Female=2			0.536		0.499	0	1
个体特征 Individual characteristics	年龄Age(X₂)	18岁以下Under 18 years old=1;18~25岁18-25 years old=2;26~30岁26-30 years old=3;31~40岁31-40 years old=4;41~50岁41-50 years old=5;51~60岁51-60 years old=6;60岁以上Over 60 years old=7			4.688		1.583	1	7
	文化程度 Educational level(X₃)	小学及以下Primary school and below=1;初中Junior high school=2;高中/中专/技校High school/technical secondary school/technical school=3;大专/本科College/undergraduate=4;研究生及以上Postgraduate and above=5			2.430		1.081	1	5
	是否是村干部 Village cadre or not(X₄)		是Yes=1;否No=0	0.059		0.236		0	1
	是否是党员 Party member or not(X₅)		是Yes=1;否No=0	0.164		0.370		0	1
经营性特征 Operational characteristics	收入是否来源于种植业Whether the income comes from the planting industry(X₆)		是Yes=1;否No=0	0.171		0.376		0	1
	家庭个人纯收入 Individual net income of family (X₇)		5 000元以下Less than 5 000 yuan=1;5000~<1万元5 000-<10 000 yuan=2;1万~<1.5万元10 000-<15 000 yuan=3;1.5万~<2万元15 000-<20 000 yuan=4;2万~3万元,20 000-30 000 yuan=5;3万元以上More than 30 000 yuan=6	3.654		1.902		1	6
专业化特征 Specialization characteristics	医务人员的服务态度满意程度Satisfaction degree of service attitude of medical staff(X₈)		非常不满意Very dissatisfied=1;比较不满意Quite dissatisfied=2;一般Ordinary=3;比较满意Quite satisfied=4;非常满意Very satisfied=5	3.769		1.243		1	5
	住院费用结算是否便利Whether the settlement of hospitalization expenses is convenient(X₉)		非常不满意Very dissatisfied=1;比较不满意Quite dissatisfied=2;一般Ordinary=3;比较满意Quite satisfied=4;非常满意Very satisfied=5	3.321		0.885		1	5
	新农合报销标准Reimbursement standard of new rural cooperative medical system(X₁₀)		非常不满意Very dissatisfied=1;比较不满意Quite dissatisfied=2;一般Ordinary=3;比较满意Quite satisfied=4;非常满意Very satisfied=5	3.135		0.782		1	5
外部特征 External characteristics	是否安装了网络Whether the network is installed(X₁₁)		是Yes=1;否No=0	0.841		0.366		0	1
	通过网络获取信息的便利程度Whether the network is installed to facilitate access to information through the network(X₁₂)		非常好Very good=1;比较好Quite good=2;一般Ordinary=3;比较不好Not good=4;非常不好Very bad=5	3.669		0.901		1	5
	是否建立了村庄微信群Whether the village WeChat group has been established(X₁₃)		是Yes=1;否No=0	0.732		0.443		0	1
	与最近城镇的距离 Distance from the nearest town(X₁₄)		1 km以内Within 1 km=1;1~<3 km 1-<3 km=2;3~<5 km 3-<5 km=3;5~10 km 5-10 km=4;10 km以上More than 10 km=5	2.026		0.972		1	4
	与最近医院的距离 Distance from the nearest hospital(X₁₅)		1 km以内Within 1 km=1;1~<3 km 1-<3 km=2;3~<5 km 3-<5 km=3;5~10 km 5-10 km=4;10 km以上More than 10 km=5	2.721		1.009		1	4
地理位置 Geographical position	东部区域 Eastern region(X₁₆)		是Yes=1;否No=0	0.627		0.611		0	1
	中部区域 Central region(X₁₇)		是Yes=1;否No=0	0.262		0.440		0	1
	西部区域 Western region(X₁₈)		是Yes=1;否No=0	0.146		0.353		0	1

变量 Variable	模型 Model(1)
X₁性别Gender	0.027
	(0.08)
X₂年龄Age	0.129^***
	(0.04)
X₃文化程度Educational level	0.099^*
	(0.05)
X₄是否是村干部Village cadre or not	-0.051
	(0.19)
X₅是否是党员Party member or not	0.190
	(0.13)
X₆收入是否来源于种植业	0.037
Whether the income comes from the planting industry	(0.12)
X₇家庭个人纯收入Individual net income of family	0.071^***
	(0.02)
X₈医务人员的服务态度满意程度	0.294^*
Satisfaction degree of service attitude of medical staff	(0.14)
X₉住院费用结算是否便利	0.437^***
Whether the settlement of hospitalization expenses is convenient	(0.04)
X₁₀新农合报销标准	0.082^***
Reimbursement standard of new rural cooperative medical system	(0.02)
X₁₁是否安装了网络	-0.195
Whether the network is installed	(0.12)
X₁₂通过网络获取信息的便利程度	0.509^***
Whether the network is installed to facilitate access to information through the network	(0.05)
X₁₃是否建立了村庄微信群	0.153^*
Whether the village WeChat group has been established	(0.09)
X₁₄与最近城镇的距离	-0.088^*
Distance from the nearest town	(0.05)
X₁₅与最近医院的距离	-0.025
Distance from the nearest hospital	(0.05)
X₁₆东部区域Eastern region	-0.347^***
	(0.13)
X₁₇中部区域Central region	-0.399^**
	(0.17)
X₁₈西部区域Western region	-0.155
	(0.19)
Constant
/cut1	-1.728^***
	(0.40)
/cut2	-0.289
	(0.38)
/cut3	2.109^***
	(0.38)
/cut4	4.476^***
	(0.39)
Observations	2 152
变量 Variable	模型 Model(1)
R-squared
Pseudo R-squared	0.037 1
LR chi2	195.3^***

变量 Variable	模型 Model(1)
X₁性别Gender	0.027
	(0.08)
X₂年龄Age	0.129^***
	(0.04)
X₃文化程度Educational level	0.099^*
	(0.05)
X₄是否是村干部Village cadre or not	-0.051
	(0.19)
X₅是否是党员Party member or not	0.190
	(0.13)
X₆收入是否来源于种植业	0.037
Whether the income comes from the planting industry	(0.12)
X₇家庭个人纯收入Individual net income of family	0.071^***
	(0.02)
X₈医务人员的服务态度满意程度	0.294^*
Satisfaction degree of service attitude of medical staff	(0.14)
X₉住院费用结算是否便利	0.437^***
Whether the settlement of hospitalization expenses is convenient	(0.04)
X₁₀新农合报销标准	0.082^***
Reimbursement standard of new rural cooperative medical system	(0.02)
X₁₁是否安装了网络	-0.195
Whether the network is installed	(0.12)
X₁₂通过网络获取信息的便利程度	0.509^***
Whether the network is installed to facilitate access to information through the network	(0.05)
X₁₃是否建立了村庄微信群	0.153^*
Whether the village WeChat group has been established	(0.09)
X₁₄与最近城镇的距离	-0.088^*
Distance from the nearest town	(0.05)
X₁₅与最近医院的距离	-0.025
Distance from the nearest hospital	(0.05)
X₁₆东部区域Eastern region	-0.347^***
	(0.13)
X₁₇中部区域Central region	-0.399^**
	(0.17)
X₁₈西部区域Western region	-0.155
	(0.19)
Constant
/cut1	-1.728^***
	(0.40)
/cut2	-0.289
	(0.38)
/cut3	2.109^***
	(0.38)
/cut4	4.476^***
	(0.39)
Observations	2 152
变量 Variable	模型 Model(1)
R-squared
Pseudo R-squared	0.037 1
LR chi2	195.3^***

变量	(1)Logitic 模型	(2)OLS 模型
X₁性别	0.075	0.009
Gender	(0.09)	(0.04)
X₂年龄	0.140^***	0.048^***
Age	(0.04)	(0.02)
X₃文化程度	0.143^**	0.033
Educational level	(0.06)	(0.02)
X₄是否是村干部	-0.087	-0.070
Village cadre or not	(0.21)	(0.08)
X₅是否是党员	0.129	0.102^*
Party member or not	(0.14)	(0.05)
X₆收入是否来源于种植业 Whether the income comes from the planting industry	0.071 (0.13)	0.017 (0.05)
X₇家庭个人纯收入 Individual net income of family	0.082^*** (0.03)	0.033^*** (0.01)
X₈医务人员的服务态度满意程度 Satisfaction degree of service attitude of medical staff	0.223^* (0.11)	0.256^* (0.13)
X₉住院费用结算是否便利 Whether the settlement of hospitalization expenses is convenient	0.542^*** (0.05)	0.623^*** (0.03)
X₁₀新农合报销标准 Reimbursement standard of new rural cooperative medical system	0.107^*** (0.02)	0.083^*** (0.02)
X₁₁是否安装了网络 Whether the network is installed	-0.172 (0.13)	-0.075 (0.05)
X₁₂通过网络获取信息的便利程度 Whether the network is installed to facilitate access to information through the network	0.456^*** (0.05)	0.207^*** (0.02)
X₁₃是否建立了村庄微信群 Whether the village WeChat group has been established	0.228^** (0.10)	0.051^* (0.04)
X₁₄与最近城镇的距离 Distance from the nearest town	-0.075^* (0.05)	-0.033 (0.02)
X₁₅与最近医院的距离 Distance from the nearest hospital	-0.028 (0.06)	-0.006 (0.02)
X₁₆东部区域Eastern region	-0.348^**	-0.153^***
	(0.15)	(0.06)
X₁₇中部区域Central region	-0.341^*	-0.179^**
	(0.20)	(0.07)
X₁₈西部区域Western region	-0.175	-0.067
	(0.21)	(0.08)
Constant	-2.259^***	2.646^***
	(0.42)	(0.16)
Observations	2152	2152
R-squared	0.05	0.08
LR chi2	155.0^***

乡村振兴视角下农民对新农合满意度影响因素研究——来自全国2 152个农户的微观数据

Study on influencing factors of farmers’ satisfaction with new rural cooperative medical system from perspective of rural revitalization: microscopic data from 2 152 farmers across China

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