医保整合与未整合地区居民卫生服务利用满意度状况比较研究  

Comparative Analysis of Satisfaction of Residents’ Health Service Utilization in Health Insurance Intergrated and Non-intergrated Areas

作　　者：刘晶晶[1] 吴群红[1] 梁超 郑统 Liu Jingjing(School of Public Health in Harbin Medical University,Harbin,150081)

机构地区：[1]哈尔滨医科大学卫生管理学院

出　　处：《医学与社会》2019年第10期115-118,共4页Medicine and Society

基　　金：国家自然科学基金资助项目,编号为71333003

摘　　要：目的:探讨医保整合背景下医保整合与未整合地区居民卫生服务利用的满意度,并进行横向交错比较,进而探究医保整合对于居民卫生服务利用满意度的影响。方法:采用分层随机整群抽样方法,抽取2013年全国第五次卫生服务调查数据中医保整合地区与未整合地区的卫生服务利用及满意度相关信息。结果:三保合一地区住院卫生服务利用满意度最高(70.2%),高于未整合地区(67.8%)。整合地区其他就业状态(在校学生、失业和无业)的门诊利用满意度高于未整合地区,而住院利用满意度低于未整合地区(P<0.05);三保合一地区其他就业状态的门诊利用满意度和住院利用满意度均高于三保合二地区(P<0.05)。整合地区城市和农村居民的门诊利用满意度均低于未整合地区(P<0.05),城市居民的住院利用满意度低于未整合地区,而农村居民的满意度高于未整合地区。无论是门诊还是住院,农村居民的满意度均高于城市居民。结论:我国在加快推进医保制度整合进程的同时,要兼顾不同职业状态和户口性质下的卫生利用公平,促进卫生资源的合理分配,努力提高卫生服务质量,推动我国医疗卫生事业的长效可持续发展。Objective:To explore the residents'satisfaction with health service utilization in different health insurance integration models under the background of medical insurance integration,to conduct horizontal cross-sectional comparison.and then to explore the impact of medical insurance integration on the residents'satisfaction with health service utilization.Methods:The stratified random cluster sampling method was used to extract the information of health service utilization and satisfaction related information in integrated and non-integrated areas from the data of the fifth national health service survey data in 2013.Results:The satisfaction rate of inpatient health service utilization in Universal Social Basic Medical area was the highest(70.2%),and the satisfaction rate of inpatient health service utilization in Universal Social Basic Medical area was higher than that in non-integrated area(67.8%).The outpatient service utilization of other employment status(school students,unemployed and unemployed)in the integrated area was higher than that in the Urban-Rural Resident Basic Medical area,and the hospitalization utilization satisfaction was lower than that in the Urban-Rural Resident Basic Medical area(P<0.05).The outpatient service of other employment status in the Universal Social Basic Medical area Satisfaction with satisfaction and hospitalization utilization were higher than those in Universal Social Basic Medical(P<0.05).Outpatient utilization satisfaction of urban and rural residents in the integrated areas was lower than that in Urban-Rural Resident Basic Medical areas(P<0.05).The degree of satisfaction was lower than that of unconformity,and the satisfaction of rural residents was higher than that of Urban-Rural Resident Basic Medical areas.Whether it was outpatient or hospitalized,the satisfaction of rural residents was higher than that of urban residents.Conclusion:While accelerating the process of integration of medical insurance system,China should take into account the fairness of health utilizati

关 键 词：医保制度 整合 三保合一 三保合二 满意度 

分 类 号：R195.1[医药卫生—卫生统计学]