Will China's cooperative medical system fail again? Insight from farmer satisfaction survey

Chen, Dong, Tang, Kam Ki, Zhao, Lifeng and Zhang, Yuhong (2013) Will China's cooperative medical system fail again? Insight from farmer satisfaction survey. Health Promotion International, 1-11. doi:10.1093/heapro/dat032

Author Chen, Dong
Tang, Kam Ki
Zhao, Lifeng
Zhang, Yuhong
Title Will China's cooperative medical system fail again? Insight from farmer satisfaction survey
Journal name Health Promotion International   Check publisher's open access policy
ISSN 1460-2245
Publication date 2013-05-12
Year available 2013
Sub-type Article (original research)
DOI 10.1093/heapro/dat032
Start page 1
End page 11
Total pages 11
Place of publication Oxford, United Kingdom
Publisher Oxford University Press
Collection year 2014
Language eng
Abstract This paper studied the sustainability of China's New Rural Cooperative Medical System (NCMS) by evaluating the satisfaction rate of its participants—the farmers. The study related the overall satisfaction of the farmers to their satisfaction with the four different aspects of the program. It also identified which personal and program attributes affect the farmers' satisfaction rate. Survey data of 1278 households from 66 counties in Shandong Province of China were collected in 2011 using a multi-stage stratified cluster-sampling method. To overcome the nepotistic barriers in rural China, field surveys in each township were conducted by university students from the same place. Data were analyzed using multiple regressions and structural equation modeling method. The results showed that 86% of the farmers were either satisfied or very satisfied with the NCMS and 82% indicated their intention to continue participating in the program. Aside from its financial benefits, both the publicity and reimbursement procedure of the program were found to be significant factors in influencing the satisfaction of the farmers. Majority of the participants held positive opinions toward the NCMS, contradicting the negative assessments made by many previous studies. Given the high proportion of farmers willing to continue with the program, it is likely to be sustainable in the near future. Greater publicity and education efforts should be made to make the farmers better informed about the program, and measures should be taken to improve its reimbursement procedure and the setting of the premium level.
Keyword NCMS
Farmer's satisfaction
Ordered logit model
Structural equation modeling
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Published online 12 May 2013 (advance access)

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2014 Collection
School of Economics Publications
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Created: Mon, 13 May 2013, 15:36:40 EST by Alys Hohnen on behalf of School of Economics