Innovating New Rural Cooperative Medical Scheme (NCMS) for Better Patient Satisfaction in Rural China

Abstract

With the broadening application of the New Rural Cooperative Medical Scheme (NCMS), its role in patient satisfaction in rural China has shifted to be the focus of academic research. Based on a technology acceptance model, this study will investigate the factors and mechanisms influencing patient satisfaction on NCMSS in rural places in China. In this study, based on a technology acceptance model, we developed a model that is associated with the influencing factors, patients’ continued participation and patient satisfaction, and conducted an empirical analysis based on data collected from rural areas of China’s Anhui Province. A NCMS′s reputed reliability, value, and convenience played a key role in positively influencing patient satisfaction. However, long-term patient participation was not significantly influenced by other social factors. In order to increase patient satisfaction, NCMS policy and implementation procedure needs further government modification and innovation with the goal of improving the reimbursement ratio, reducing the financial burden, and improving patient convenience.

Mixed Methods Research on Satisfaction with Basic Medical Insurance for Urban and Rural Residents in China

“…At present, most research has focused on satisfaction with the NCMS and URBMI, and few studies have focused on the reasons behind the satisfaction with URRBMI [10][11][12][13]. Based on the complexity of the policies and differences among the insured, the satisfaction with medical insurance in practice is not high because of the unreliability and inconvenient utilization of policy, inequality of access and the moral hazard of service providers [4,14] . Integrated basic medical insurance has changed the health resource structure and health security system.…”

“…However, quantitative research cannot measure nonquanti able aspects and cannot deeply understand the complexity of the inherent elements of satisfaction. Therefore, it is impossible to understand the dynamic process of satisfaction formation [4,14,18]. Because satisfaction is a subjective feeling, qualitative research can be used to carry out in-depth explorations and analyses from the perspective of decision-makers to nd hidden problems and to understand the formation and development of satisfaction.…”

Evaluation of patient satisfaction in hospitals in China 2003–2013: A national longitudinal analysis of population-based survey data

“…However, because of the use of national population-based survey data, our conclusion seems to be more convincing. Since the promulgation of the New Rural Cooperative Medical Scheme (NCMS) in 2009 to improve the health of rural residents, the satisfaction of patients in the rural areas in China has largely increased, especially that of the poor ones [43]. Specifically, the NCMS has substantially advanced healthcare access and application and effectively reduced the medical impoverishment of low-income rural regions.…”

Mixed Methods Research on Satisfaction with Basic Medical Insurance for Urban and Rural Residents in China

“…At present, most research has focused on satisfaction with the new rural cooperative medical scheme (NRCMS) and urban resident basic medical insurance (URBMI), and few studies have focused on the reasons behind the satisfaction with URRBMI [8][9][10][11]. Based on the complexity of the policies and differences among the insured, the satisfaction with medical insurance in practice is not high because of the unreliability and inconvenient utilization of policy, inequality of access and the moral hazard of service providers [2,12]. Integrated basic medical insurance has changed the health resource structure and health security system.…”

“…However, quantitative research cannot measure nonquantifiable aspects and cannot deeply understand the complexity of the inherent elements of satisfaction. Therefore, it is impossible to understand the dynamic process of satisfaction formation [2,12,16]. Because satisfaction is a subjective feeling, qualitative research can be used to carry out in-depth explorations and analyses from the perspective of decision-makers to find hidden problems and to understand the formation and development of satisfaction.…”