沈阳市城镇居民基本医疗保险满意度及其影响因素分析

发布时间：2018-01-13 09:00

本文关键词：沈阳市城镇居民基本医疗保险满意度及其影响因素分析　出处：《中国公共卫生》2016年06期 　论文类型：期刊论文

【摘要】：目的了解辽宁省沈阳市城镇居民基本医疗保险满意度及其影响因素。方法采用分层随机抽样方法抽取沈阳市的1 196名非从业居民进行城镇居民基本医疗保险满意度调查,并对数据进行描述性统计分析、χ2检验及二分类logistic回归分析。结果沈阳市城镇居民对城镇居民基本医疗保险整体满意度为86.3%;不同年龄段、文化程度健康状况自评的居民对城镇居民基本医疗保险整体满意度差异均有统计学意义(P0.01);二分类logistic回归分析表明,市级及以上医院服务质量满意(OR=3.120,95%CI=1.834~5.307)、社区卫生服务及质量满意(OR=2.361,95%CI=1.384~4.027)、报销程序满意(OR=1.905,95%CI=1.121~3.237)、报销比例满意(OR=5.612,95%CI=3.522~8.944)及解决或大部分解决看病负担(OR=6.684,95%CI=3.217~13.888)均是城镇居民基本医疗保险整体满意度的危险性因素。结论沈阳市居民对城镇居民基本医疗保险整体满意度一般,沈阳市城镇居民基本医疗保险整体满意度的影响因素主要有经办机构的服务质量、报销程序、报销比例及解决看病负担情况。
[Abstract]:Objective to understand the satisfaction degree of basic medical insurance and its influencing factors among urban residents in Shenyang, Liaoning Province. 196 non-employed residents surveyed the satisfaction of basic medical insurance of urban residents. The data were analyzed by descriptive statistics, 蠂 2 test and logistic regression analysis. Results the overall satisfaction of urban residents to the basic medical insurance of urban residents was 86.3; There were statistically significant differences in the overall satisfaction of urban residents with the basic medical insurance among the self-rated residents with different age groups. Two classification logistic regression analysis showed that the service quality of the hospitals at the municipal level and above was satisfactory, and the quality of service was 1.834 / 5.307). The community health service and quality satisfaction were 2.361 ~ 95%, 1.384 ~ 4.027%, and 1.905 were satisfied with the reimbursement procedure. 95 CIQ 1.121 / 3.237, and the reimbursement ratio is satisfactory to 5.612. 95 / CI3.522 / 8.944) and resolving or most resolving the burden of seeing a doctor is 6.684. 95CI3.2170.13.888) are the risk factors of the overall satisfaction of the basic medical insurance of urban residents. Conclusion the overall satisfaction of Shenyang residents to the basic medical insurance of urban residents is general. The main influencing factors of the overall satisfaction of the basic medical insurance of the urban residents in Shenyang are the service quality of the agencies, the reimbursement procedure, the proportion of reimbursement and the solving of the burden of seeing a doctor.
【作者单位】：沈阳医学院公共卫生学院管理教研室;
【基金】：辽宁省软科学研究计划课题(2012401032)
【分类号】：R197.1;F842.684
【正文快照】： 为保障城镇非从业居民的医疗保障,完善城镇居民基本医疗保险(简称“居民医保”)的政策体系,国务院于2007年开展居民医保试点工作[1]。居民医保试点工作是建立居民医保制度和完善社会医疗保障体系的重要举措[2],辽宁省沈阳市于2007年10月1日开始施行居民医保。截止2013年底,居

【相似文献】