城镇居民基本医疗保险满意度影响因素分析  

Research on the Factors Influencing Satisfaction with Urban Residents’ Basic Medical Insurance

作　　者：张晓 倪樟男 孟雪晖 ZHANG Xiao;NI Zhang-nan;MENG Xue-hui(Hangzhou First People’s Hospital/Hangzhou Geriatrics Hospital,Hangzhou,Zhejiang,310000,China)

机构地区：[1]杭州市第一人民医院城北院区/杭州市老年病医院,浙江杭州310000 [2]浙江省肿瘤医院,浙江杭州310000 [3]浙江中医药大学人文与管理学院,浙江杭州310000

出　　处：《中国初级卫生保健》2022年第10期5-8,共4页Chinese Primary Health Care

摘　　要：目的:分析我国城镇居民基本医疗保险满意度现状及影响因素,并提出改进建议。方法:采用中国社会科学院“2019年中国社会状况综合调查”数据,筛选出参加城镇居民基本医疗保险者,对其基本情况进行统计描述,并构建logistic回归模型,确定城镇居民医疗保险满意度的影响因素。结果:1 163位参保者对城镇居民基本医疗保险的满意度处于中等偏上水平(M=7分,IQR为5~8分)。53.8%的受访者认为“看病难、看病贵”是当前我国存在的重大社会问题之一,28.6%的受访者表示个人/家庭医疗支出压力大、难以承受。女性、≥50岁、低收入人群等群体对医疗保险满意度较低(OR值分别为0.598、0.532、0.574,P值均<0.05)。另外,对政府提供医疗服务评价不太好/很不好、对公共医疗公平程度的感知不太公平/非常不公平、对医院的信任程度不太信任/完全信任者对医疗保险满意度较低(OR值分别为0.558、0.320、0.515,P值均<0.05)。结论:建议合理配置医疗卫生资源,针对不同群体采取个性化服务,持续提升医疗卫生服务水平,提高城镇居民对基本医疗保险的满意度。OBJECTIVE To analyze the current situation of satisfaction with basic medical insurance for urban residents in China and its influencing factors, furthermore to propose suggestions for improvement. METHODS Using data from the 2019 Chinese Social Survey(CSS2019), statistical descriptions and univariate analyses of the data were conducted, and logistic regression models were constructed to determine the influencing factors of satisfaction. RESULTS Among the 1 163 survey respondents, the satisfaction level of urban residents’ basic medical insurance was moderately high(M=7, IQR 5~8). 53.8% of the respondents thought that“it is difficult and expensive to see a doctor”was one of the major social problems in China. 28.6% of the respondents said that the pressure of personal/family medical expenses was high and unaffordable. And women, the elderly and low-income groups were less satisfied with medical insurance,the difference was statistically significant (χ~2=41.64,P<0.05). In addition, the evaluation of the government’s provision of medical services, the perception of the fairness of public medical care, and the degree of trust in hospitals all had a positive effect on the satisfaction with medical insurance, the difference was statistically significant (χ~2=64.22、 123.91、77.09,P<0.05). CONCLUSION It is recommended to strengthen the policy level of urban residents’ medical insurance, allocate medical and health resources reasonably, adopt personalized services for different groups, and continuously improve the level of medical and health services to further enhance the satisfaction of urban residents’ basic medical insurance.

关 键 词：城镇居民 基本医疗保险 满意度 影响因素 

分 类 号：R197[医药卫生—卫生事业管理]