理论工伤保险的意愿参与和意愿支付研究  

Study on willingness to participate and willingness to pay for hypothetical industrial injury insurance scheme

作　　者：吴媛[1,2] 董恒进[1] 段胜楠[1,3] 刘小方[1] 叶驰宇[1,4] 尤华[1] 胡慧美[1] 王林浩[1] 张幸 王菁[1] 

机构地区：[1]浙江大学医学部卫生政策学研究中心,杭州310058 [2]浙江省舟山市卫生监督所 [3]大连医科大学 [4]浙江省疾病预防与控制中心 [5]浙江省医学科学研究院

出　　处：《中华劳动卫生职业病杂志》2014年第10期732-741,共10页Chinese Journal of Industrial Hygiene and Occupational Diseases

基　　金：美国中华医学基金会（11-066）;浙江省重大科技专项课题（2008C13029-2）;职业病与工伤社会保险的可行性及政策（2012C35048）

摘　　要：目的 了解企业工人对理论工伤保险的意愿参与和支付情况及影响因素,为各级政府和相关部门制定相关政策提供信息.方法 采用多阶段整群抽样的方法,首先根据经济发展水平、交通便利及相关部门配合情况选取浙江省3市（县）9家大中小型企业,随机抽取若干个车间,对整个车间的工人进行调查.采用面对面问卷调查方式,由事先经过培训的调查员进入车间询问,并填写问卷相关内容.结果 73.87％（2 095名）的工人愿意参加理论工伤保险,平均愿意支付工人每月工资的2.21％（51.77元）,超过半数的工人愿意支付比例不超过每月工资的1％（35元）.在不愿意参加保险的741名工人中,有327人认为“不应由个人承担保费,应该由国家或企业承担”,其他工人因为经济水平或因为工作不稳定或自身对理论工伤保险未了解透彻造成不愿意参加.Logistic回归结果发现,教育程度越高、工龄和每周工作时间越长、职业病知晓情况越好,愿意参加保险的概率也越高;从事物理性有害因素的岗位、已经建立健康档案、已经参加一般医保/工伤保险的工人更愿意参加保险.多元线性回归结果分析,随着月平均收入、每周工作时间、自我健康评分的增加,企业工人的意愿支付比例也增加;而工作强度越大、对职业病知晓情况越好的工人意愿支付比例反而降低.未参加工伤保险的工人支付程度高于已经参加工伤保险的工人.结论 理论工伤保险扩大了统筹层次,突显第三方独立运行、终身制等的优势,从而显著提高了作业工人的意愿参与和意愿支付比例.因此,工伤保险可以从这些方面进行改进,以便提高企业工人参与及支付积极性.这也能为当前解决企业保费支付拖延、抵触等问题提供了参考.Objective To investigate workers＇ willingness to participate and wiliness to pay for a hypothetical industrial injury insurance scheme,to analyze the influential factors,and to provide information for policy making of the government.Methods Multistage cluster sampling was used to select subjects：In the first stage,9 small,medium,or large enterprises were selected from three cities （counties） in Zhejiang province,China,according to the level of economic development,transportation convenience,and cooperation of government agencies; in the second stage,several workshops were randomly selected from each of the 9 enterprises.Face-to-face interviews among all workers in the workshops were conducted by trained interviewers using a pre-designed questionnaire.Results It was found that 73.87 ％ （2095） of all workers were willing to participate in the hypothetical work injury insurance scheme and to pay 2.21％ of monthly wage （51.77 yuan） on average,and more than half of the workers were willing to pay less than 1％ of monthly wage （35 yuan）.Of the 741 workers who were not willing to participate,327 thought that the premium should be borne by the state or enterprises,instead of individuals,and others were not willing to participate because of low income,unstable job,or poor understanding of the hypothetical industrial injury insurance scheme.Logistic regression analysis showed that workers with higher education levels,longer length of services,longer weekly working time,or more knowledge of occupational diseases showed higher willingness to participate in the scheme; workers who were exposed to physical hazards,had health records,or had participated in the existing medical insurance or industrial injury insurance were more willing to participate.Multiple linear regression analysis showed that with increasing average monthly wage,weekly working time,and self-health evaluation,the proportion of workers with willingness to pay increased; however,with increasing work intensity and awareness of occupationa

关 键 词：工伤保险 意愿参与 意愿支付 

分 类 号：F842.616[经济管理—保险]