大连市城镇职工医疗保险老年参保者满意度及影响因素实证研究
发布时间：2019-06-19 06:00
【摘要】：医疗保险制度作为社会保障体系中重要的一个组成部分，对人们的身体健康和医疗保障发挥着重要的作用。大连市是我国医疗保险制度改革最早的试点城市之一。从1996年大连市就开始了职工医疗保险制度的试点和探索，并于2000年正式建立了城镇职工基本医疗保险制度，至今大连市的医疗制度改革和发展已经走过了12年的历程。由于目前我国老龄化趋势的加剧，人口老龄化的压力也考验着我国的医疗保险制度。由于老年人口身体健康的特殊性，身体素质较弱，身体累积的疾病较多，使得其更容易患上各种疾病，产生的医疗费用也相对其他年龄阶段更多，因此老年人的医疗保障问题也理应受到社会更多的关注，才能维持社会的和谐发展。 本文经过大量相关文献的阅读，，通过对相关专家的咨询和参保者的访谈研究，构建了大连市职工医疗保险老年参保者满意度的评价指标体系和满意度调查问卷。调查问卷的发放地点主要选择在大连市内中山、西岗、沙河口、甘井子四个区。通过问卷的发放和回收共得到有效问卷481份。本文主要通过SPSS软件对相关数据进行统计分析，其中用到的统计分析方法主要有因子分析、方差分析、相关分析、回归分析等。 本文通过因子分析分析得到了关于满意度的四个因子，经过加权计算得到了老年参保者对职工医疗保险满意度的综合得分。通过对老年参保者个体特征因素的方差分析得到的结果表明，除性别外，年龄、文化程度、身体健康状况、收入等因素对满意度的影响均具有显著的差异性。通过相关分析和回归分析得到的结果表明，定点医院、医保政策、定点药店、医保中心对职工医疗保险老年参保者总体满意度均具有显著的正向影响。 通过对职工医疗保险老年参保者的满意度分析和研究，本文最后提出了改进和完善职工医疗保险制度的具体对策和建议。
[Abstract]:As an important part of social security system, medical insurance system plays an important role in people's health and medical security. Dalian is one of the earliest pilot cities in the reform of medical insurance system in China. Since 1996, Dalian began to pilot and explore the medical insurance system for workers and workers, and formally established the basic medical insurance system for urban workers in 2000. Up to now, the reform and development of medical system in Dalian has gone through the course of 12 years. Due to the aggravation of the aging trend in our country, the pressure of population aging also tests the medical insurance system of our country. Because of the particularity of the health of the elderly population, the physical quality is weak, the body accumulates more diseases, which makes it more likely to suffer from all kinds of diseases, and the medical expenses are also more than other age stages. therefore, the medical security of the elderly should also be paid more attention by the society in order to maintain the harmonious development of the society. Through the reading of a large number of relevant literature, through the consultation of relevant experts and the interview and research of the insured, this paper constructs the evaluation index system and satisfaction questionnaire of the elderly insured in Dalian medical insurance. The questionnaire was mainly distributed in Zhongshan, Xigang, Shahekou and Ganjingzi districts in Dalian. A total of 481 valid questionnaires were obtained through the distribution and recovery of questionnaires. In this paper, the relevant data are statistically analyzed by SPSS software, in which the main statistical analysis methods are factor analysis, variance analysis, correlation analysis, regression analysis and so on. In this paper, four factors of satisfaction are obtained by factor analysis, and the comprehensive scores of medical insurance satisfaction of elderly insured persons are obtained by weighted calculation. The results of variance analysis of the individual characteristic factors of the elderly insured showed that there were significant differences in the influence of age, educational level, physical health status and income on satisfaction except sex. The results of correlation analysis and regression analysis show that designated hospitals, medical insurance policies, designated pharmacies and medical insurance centers have significant positive effects on the overall satisfaction of elderly insured workers. Through the analysis and research on the satisfaction of the elderly insured in the medical insurance for workers, this paper finally puts forward some concrete countermeasures and suggestions for improving and perfecting the medical insurance system for the staff and workers.
【学位授予单位】：大连工业大学
【学位级别】：硕士
【学位授予年份】：2013
【分类号】：F842.684
本文编号：2502150
[Abstract]:As an important part of social security system, medical insurance system plays an important role in people's health and medical security. Dalian is one of the earliest pilot cities in the reform of medical insurance system in China. Since 1996, Dalian began to pilot and explore the medical insurance system for workers and workers, and formally established the basic medical insurance system for urban workers in 2000. Up to now, the reform and development of medical system in Dalian has gone through the course of 12 years. Due to the aggravation of the aging trend in our country, the pressure of population aging also tests the medical insurance system of our country. Because of the particularity of the health of the elderly population, the physical quality is weak, the body accumulates more diseases, which makes it more likely to suffer from all kinds of diseases, and the medical expenses are also more than other age stages. therefore, the medical security of the elderly should also be paid more attention by the society in order to maintain the harmonious development of the society. Through the reading of a large number of relevant literature, through the consultation of relevant experts and the interview and research of the insured, this paper constructs the evaluation index system and satisfaction questionnaire of the elderly insured in Dalian medical insurance. The questionnaire was mainly distributed in Zhongshan, Xigang, Shahekou and Ganjingzi districts in Dalian. A total of 481 valid questionnaires were obtained through the distribution and recovery of questionnaires. In this paper, the relevant data are statistically analyzed by SPSS software, in which the main statistical analysis methods are factor analysis, variance analysis, correlation analysis, regression analysis and so on. In this paper, four factors of satisfaction are obtained by factor analysis, and the comprehensive scores of medical insurance satisfaction of elderly insured persons are obtained by weighted calculation. The results of variance analysis of the individual characteristic factors of the elderly insured showed that there were significant differences in the influence of age, educational level, physical health status and income on satisfaction except sex. The results of correlation analysis and regression analysis show that designated hospitals, medical insurance policies, designated pharmacies and medical insurance centers have significant positive effects on the overall satisfaction of elderly insured workers. Through the analysis and research on the satisfaction of the elderly insured in the medical insurance for workers, this paper finally puts forward some concrete countermeasures and suggestions for improving and perfecting the medical insurance system for the staff and workers.
【学位授予单位】：大连工业大学
【学位级别】：硕士
【学位授予年份】：2013
【分类号】：F842.684
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