常州地区基本医疗保险制度满意度及其影响因素研究

发布时间：2019-03-19 17:11

【摘要】：目的探讨常州市参保居民对基本医疗保险制度的满意度及其影响因素。方法随机抽取常州市新北区2014年参保居民358名进行问卷调查,358名参保人员来自常州四院、孟沙人民医院、春江人民医院、薛家卫生院、河海社区卫生服务中心、龙虎塘社区卫生服务中心、三井街道社区卫生服务中心7家单位,调查分析参保居民对基本医疗保险制度满意度及其影响因素。结果与城镇职工和城镇居民基本医疗保险的参保人员的满意度评分相比,新农合的参保人员的满意度评分较低。医疗服务态度、报销起付线、报销比例、医生技术水平、政策了解程度、转诊方便性、参保个人缴费水平和医疗设备状况是城镇职工基本医疗保险制度满意度的影响因素(P0.05)。交通便利性、报销起付线、报销比例、医生技术水平、转诊方便性、参保个人缴费水平和医疗设备状况是城镇居民基本医疗保险参保者的满意度的影响因素(P0.05)。交通便利性、报销起付线、报销比例、医生技术水平、转诊方便性和医疗设备状况时新农合保险制度满意度的影响因素(P0.05)。结论基本医疗保险制度的参保者对于医疗技术水平(医疗设备状况和医生技术水平)和医疗费用(报销水平和比例,个人缴费水平)关注程度较高,医疗技术水平和医疗费用的高低也是影响参保者对基本医保制度满意度的重要影响因素。
[Abstract]:Objective to investigate the satisfaction degree of residents with basic medical insurance system in Changzhou and its influencing factors. Methods A questionnaire survey was conducted among 358 insured residents in Xinbei District of Changzhou City in 2014. 358 participants were from Changzhou fourth Hospital, Mengsha people's Hospital, Chunjiang people's Hospital, Xue Family Health Center and Hehai Community Health Service Center. Seven units of Longhutang Community Health Service Center and Sanjing Street Community Health Service Center were investigated and analyzed the residents' satisfaction with the basic medical insurance system and its influencing factors. Results compared with the satisfaction scores of urban workers and urban residents, the satisfaction scores of NCMS participants were lower than those of urban workers and urban residents. Medical service attitude, reimbursement line, reimbursement ratio, doctors' technical level, level of policy understanding, convenience of referrals, The level of individual contribution and the condition of medical equipment were the influencing factors of the satisfaction degree of basic medical insurance system for urban workers (P0.05). The convenience of transportation, the line of reimbursement, the proportion of reimbursement, the skill level of doctors, the convenience of referrals, the level of personal contribution and the status of medical equipment were the influencing factors of satisfaction of basic medical insurance participants in urban residents (P0.05). Transportation convenience, reimbursement line, reimbursement ratio, doctors' technical level, convenience of referrals and factors affecting satisfaction of NCMS insurance system (P0.05). Conclusion the participants in the basic medical insurance system pay more attention to the medical technical level (medical equipment status and doctors' technical level) and medical expenses (reimbursement level and proportion, individual contribution level). The level of medical technology and the level of medical expenses are also important factors that affect the satisfaction of the insured to the basic medical insurance system.
【作者单位】：常州大学商学院;常州市人力资源和社会保障局;南京医科大学附属无锡妇幼保健院;
【基金】：2016年江苏省社科基金(16SHC007) 2016年江苏省高校哲学社会科学研究项目(2016SJD840021)
【分类号】：F842.684;R197.1

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