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本文利用抽样调查数据,从北京郊区农民的需求、参与、认知和获益情况四个方面,通过probit模型具体分析了北京新型农村合作医疗的运行状况及影响农民参与合作医疗的影响因素。研究表明,目前在提供新型农村合作医疗的社区,农民参与程度较高,参加新型农村合作医疗也有助于农民就医。京郊农民对新型农村合作医疗的有效需求不足:一方面参与农民对新型农村合作医疗的具体内涵并不十分清楚,另一方面新型农村合作医疗本身制度设计上的问题也影响了一部分农民的参与,相对其他险种,较低的报销比例及烦琐的报销程序可能是影响其发展的主要因素。
Based on the sample survey data, this paper analyzed the operation status of Beijing New Rural Cooperative Medical System (CMS) and the influencing factors of farmers’ participation in the cooperative medical system through the probit model from four aspects: the demand, participation, cognition and benefit of Beijing suburban farmers. Research shows that in the communities providing new-type rural cooperative medical services, farmer participation is relatively high. Participation in the new-type rural cooperative medical care can also help farmers seek medical treatment. On the one hand, the specific connotation of participation of peasants in the new rural cooperative medical system is not very clear; on the other hand, the problems of system design of new rural cooperative medical system also affect the participation of some peasants , Relative to other types of insurance, lower reimbursement ratio and cumbersome reimbursement process may be the main factor affecting its development.