沈阳市城镇参保职工个人账户认知与使用调查

发布时间：2018-01-13 19:23

本文关键词：沈阳市城镇参保职工个人账户认知与使用调查　出处：《现代预防医学》2015年08期 　论文类型：期刊论文

【摘要】：目的了解沈阳市城镇职工基本医疗保险个人账户认知与使用中存在问题并提出建议。方法采用多级随机抽样方法抽取沈阳市7 087名城镇参保职工进行问卷调查,采用SPSS13.0建立数据库,使用描述性分析和卡方检验方法进行统计分析。结果参保职工对个人账户相关信息知晓率不高,71.65%的人不知道医保卡可以累计并计息,73.15%的人不知道医保卡可以继承,不同年龄、性别、文化程度、单位类别的参保人员在知晓医保卡的划拨比例、缴纳住院门槛费、缴纳个人自付费用、可以继承等方面差异有统计学意义(P0.05);个人账户使用情况较好,不同年龄、单位类别参保人员在去医院看病使用医保卡上差异有统计学意义(P0.05);不同年龄、性别、文化程度、单位类别参保人员在去药店购药使用医保卡方面差异有统计学意义(P0.05);改革意愿方面,39.18%的人认为应降低个人缴费比例,仅6.62%的人赞成取消个人账户。结论应普及医保卡相关知识和政策,加强医疗保险个人账户的使用和管理监督,并扩大个人账户使用范围。
[Abstract]:Objective to understand the problems of personal accounts in Shenyang City, the basic medical insurance for urban workers and the use of cognitive and suggestions. By multistage random sampling method in Shenyang city 7087 towns insured workers conducted a questionnaire survey, using SPSS13.0 to establish a database, using descriptive analysis and chi square test were used for statistical analysis. The results of insured workers personal account information the awareness rate is not high, 71.65% of people do not know the health insurance card can be accumulated and interest, 73.15% of people do not know the health insurance card can be inherited, different age, gender, education level, unit categories insured in the known health insurance card transfer ratio, to pay the hospital fees threshold, pay personal cost, can inherit aspects of differences there was statistical significance (P0.05); the use of personal accounts well, different age, class of units of the insured in the use of Medicare card to go to the hospital to see disease There were significant differences (P0.05); different age, gender, culture degree, the insured unit category was statistically significant in the pharmacies to use Medicare card difference (P0.05); willingness to reform, 39.18% of the people think that we should reduce the individual payment proportion, only 6.62% of people in favor of the abolition of personal accounts. Conclusion the health care coverage card related knowledge and policy, strengthen the supervision and management of the use of medical insurance personal accounts, personal accounts and expand the scope of use.

【作者单位】：沈阳医学院;沈阳市社会医疗保险管理局;辽宁省金秋医院;
【基金】：辽宁省软科学研究计划课题(2012401032)
【分类号】：F842.6
【正文快照】： 我国从1998年开始建立“统筹基金和个人账户”相结合的城镇职工基本医疗保险制度。医疗保险个人账户是记载参保人员个人缴费和单位缴费按规定划转部分资金,专门用于支付参保人员在医疗保险政策规定范围内的医疗费用[1]。个人账户资金是基本医疗保险基金的重要组成部分。但在制

【参考文献】