西部地区城镇居民基本医疗保险的认知、参保与利用研究:基于广西桂林市的调查

发布时间：2018-05-06 02:06

本文选题：城镇居民基本医疗保险 + 认知　；参考：《中国卫生事业管理》2017年01期

【摘要】：目的:了解西部地区社区居民对城镇居民基本医疗保险的认知、参保与利用情况,为完善医疗保障制度提供参考依据。方法:采用分层整群随机抽样的方法,2015年9-12月对广西桂林市976名社区居民进行现场问卷调查。结果:社区居民对城镇居民基本医疗保险制度了解的比例为30.0%,参保率为72.2%,参保居民中仅33.2%的利用过保险;Logistic回归显示,年龄、文化程度、婚姻状况、职业、性别以及对保险制度合理性的判断是影响社区居民是否参加城镇居民基本医疗保险的主要因素(P0.05),年龄、文化程度、家庭人均月收入、对城镇居民基本医疗保险制度和报销比例的了解程度是影响社区居民利用城镇居民基本医疗保险的重要因素(P0.05)。结论:社区居民对城镇居民基本医疗保险的认知情况较差,参保率偏低,对保险的利用明显不足,应加强基本医疗保险政策的宣传力度,降低报销缴费水平,提高报销比例,不断扩大保险的项目覆盖范围,鼓励商业医疗保险进入医保体系。
[Abstract]:Objective: to understand the cognition, participation and utilization of basic medical insurance for urban residents in western China, and to provide reference for the improvement of medical security system. Methods: 976 community residents in Guilin, Guangxi were investigated by stratified cluster random sampling from September to December 2015. Results: the proportion of community residents' understanding of the basic medical insurance system of urban residents was 30.00.The insurance rate was 72.2%. Logistic regression analysis showed that only 33.2% of the insured residents had their age, education, marital status and occupation. Gender and the rationality of the insurance system are the main factors that affect whether the community residents participate in the basic medical insurance of urban residents. The degree of understanding of the basic medical insurance system and reimbursement ratio of urban residents is an important factor affecting the utilization of the basic medical insurance of urban residents by community residents. Conclusion: the cognition of the basic medical insurance of the urban residents is poor, the rate of participating in the insurance is low, and the utilization of the insurance is obviously insufficient. It is necessary to strengthen the propaganda of the basic medical insurance policy, reduce the level of reimbursement payment and increase the proportion of reimbursement. Continue to expand the coverage of insurance programs, encouraging commercial medical insurance into the health care system.
【作者单位】：桂林医学院人文与管理学院公共管理教研室;
【基金】：2014年度广西高校科学技术研究项目一般项目(编号:YB2014274) 广西大学生创新创业训练计划项目”桂林市社区居民对城镇居民基本医疗保险认知度、参保与利用情况的现况调查”(编号:201410601047)
【分类号】：R197.1;F842.684

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