基本医疗保险经办服务满意度及优化路径研究——基于镇江、东莞、成都、神木、银川的实证分析

发布时间：2018-06-04 20:12

本文选题：经办服务 + 满意度　；参考：《保险研究》2013年10期

【摘要】：经办服务关系着基本医疗保险的可及性,城乡居民对于基本医疗保险经办服务的满意程度是衡量全民医保实施效果的重要指标。本文基于基本医疗保险经办问题的部门之争和学界讨论.通过对镇江、东莞、成都、神木、银川五地城乡居民医保经办服务满意度的调查,采用描述性分析、交互分析、二元Logistic回归分析,研究发现我国医保经办服务存在着整体满意度较低、医保经办管理主体混乱、各地经办服务水平参差不齐等问题。因此,优化我国医保经办服务的路径在于,整合医保经办机构,引入商业保险公司参与医保经办服务,建立医保经办机构同医疗服务方谈判机制,落买医保关系的转移接续,加强医保系统信息化建设,优化医疗服务水平。
[Abstract]:Administrative services are related to the accessibility of basic medical insurance. The satisfaction of urban and rural residents with the basic medical insurance services is an important indicator to measure the implementation effect of universal medical insurance. This paper is based on the departmental debate and academic discussion on the issue of basic medical insurance. Through the survey of satisfaction degree of medical insurance service in Zhenjiang, Dongguan, Chengdu, Shenmu and Yinchuan, descriptive analysis, interactive analysis and binary Logistic regression analysis are used. It is found that there are some problems in China, such as low overall satisfaction degree, confusion of the main body of medical insurance management, and uneven service level. Therefore, the way to optimize medical insurance services in China lies in integrating medical insurance agencies, introducing commercial insurance companies to participate in medical insurance management services, establishing a negotiation mechanism between medical insurance agencies and medical service providers, so as to transfer the relationship between medical insurance agencies and health care providers. Strengthen the information construction of medical insurance system and optimize the level of medical service.
【作者单位】：西北大学公共管理学院;
【基金】：国家社科基金青年项目“基于国民均等受益的健康保障路径研究”(11CGL070)
【分类号】：F842.6

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