2021年山西省儿童家长对预防接种异常反应商业保险补偿意愿和影响因素调查  

Investigation on willingness and influencing factors of children’s parents towards commercial insurance compensation for adverse events following immunization in Shanxi Province 2021

作　　者：王晓芳[1] 光明[1] 王慧[1] 陈霄 李虹[1] 席华星 杨婷婷[1] 王海娇[1] 常少英[1] WANG Xiaofang;GUANG Ming;WANG Hui;CHEN Xiao;LI Hong;XI Huaxing;YANG Tingting;WANG Haijiao;CHANG Shaoying(Shanxi Provincial Center for Disease Control and Prevention,Taiyuan 030012,Shanxi Provinnce,China)

机构地区：[1]山西省疾病预防控制中心,太原030012

出　　处：《预防医学情报杂志》2024年第3期296-306,共11页Journal of Preventive Medicine Information

基　　金：山西省卫生计生委公共卫生专项科研课题(项目编号:2018GW12)。

摘　　要：目的了解山西省儿童家长对实施预防接种异常反应商业保险补偿、购买疫苗补充保险的意愿及影响因素。方法2021年11至12月采用多阶段抽样的方法对儿童家长进行现场问卷调查,采用χ^(2)检验、Logistic回归等方法进行分析,检验水准α=0.05。结果共计发放问卷1012份,975份为有效问卷。政府实施商业保险补偿支持率为78.1%,购买补充保险愿意率为72.2%。Logistic回归分析显示,本省户籍、在乡级单位接种、居住在城区、无经济负担、孩子出现过AEFI、知晓AEFI知识、国有企事业单位职工、工人/农民/商业/餐饮服务的家长更愿意支持商业保险补偿;独生子女、本省户籍、在县级/乡级单位接种、无经济负担、知晓现行补偿办法的家长更愿意购买补充保险。调查对象希望医学会组织调查诊断(50.8%),补偿诱发或加重原有疾病(62.4%)、偶合死亡补偿(40%)、补偿误工费(63%)、精神损失费(50.3%)、交通费(44.2%)、住宿费(43.6%)和丧葬费(32.1%)。结论儿童家长对政府实施商业保险补偿及补充保险意愿均较高。根据人群特征开展针对性的宣教,提高家长AEFI知识的知晓度,完善补偿程序,扩大补偿范围、项目,可以提高家长保险补偿意愿。Objective To investigate the willingness and influencing factors of children's parents towards commercial insurance compensation and purchasing supplementary insurance for adverse events following immunization in Shanxi province.Methods A site questionnaire survey was conducted among children's parents by multistage sampling during November to December 2021.The results were analyzed by Chi-square test and multivariate Logistic regression analysis,test levelα=0.05.Results A total of 1012 questionaires were issued,975 of which were valid.The support rate for the government to implement commercial insurance compensation was 78.1%,and the willingness to buy supplementary insurance was 72.2%.Logistic regression analysis showed that parents who were domiciled in the Province,vaccinated at the township level,lived in urban areas,had no financial burden,had children with AEFI,knew about AEFI,and employed by stateowned enterprises and institutions,workers/farmers/businesses/catering services were more willing to support commercial insurance compensation.The parents who were only children,were domiciled in the province,vaccinated at county or township level,had no financial burden,and were aware of the current compensation method were more willing to purchase commercial supplementary insurance.The respondents wanted Association of Preventive Medicine to organize diagnosis(50.8%),compensation for inducing or aggravating the original disease(62.4%)and accidental death(40%),compensation for charge for loss of working time(63%),mental damage compensation(50.3%),transportation costs(44.2%),accommodation expenses(43.6%)and funeral expenses(32.1%).Conclusions The parents of children have a relatively high willingness to implement commercial insurance compensation and supplementary insurance.By carrying out targeted education according to population characteristics,so that to improve parents’awareness of AEFI knowledge and compensation procedures,expand the scope and items of compensation,parents’willingness to insurance comp

关 键 词：儿童家长 商业保险 补充保险 意愿 影响因素 

分 类 号：R195[医药卫生—卫生统计学]