东莞市城乡居民医保补偿政策满意度及影响因素

Study on the satisfaction and influencing factors of medical insurance compensation policies for urban and rural residents in Dongguan City

目的调查东莞市城乡医保参保居民对医保补偿政策的满意度及影响因素,以及分析提高满意度及优化医保补偿政策的有效途径。方法2021-10-01-2021-12-31采用多阶段抽样方法选取东莞全市7个镇,每个镇2个村的282名城乡医保参保居民作为调查对象;通过问卷调查收取资料,问卷中的满意度指标采用李克特量表5级测量法,统计分析参保居民不同特征对城乡居民医保补偿政策的满意度是否存在差异;二元logistic回归分析参保居民对城乡居民医保补偿政策满意度的影响因素。结果参保居民对城乡居民医保补偿政策的满意度平均得分为3.13分。参保居民的婚姻状况(χ^(2)=21.040,P=0.050)、健康状况(χ^(2)=33.986,P=0.005)、城乡居民医保补偿政策关注度(χ^(2)=66.311,P<0.001)、城乡居民医保补偿政策知晓度(χ^(2)=114.173,P<0.001)、到医疗机构就医的时间选择(χ^(2)=16.556,P=0.044)和身体不适时就医机构选择(χ^(2)=16.556,P=0.002)对城乡居民医保补偿政策满意度均有影响。logistic回归分析结果显示,参保居民的健康状况(OR=0.638,95%CI为0.417~0.978,P=0.039)、城乡居民医保补偿政策知晓度(OR=1.497,95%CI为1.059~2.116,P=0.022)、身体不适时就医机构选择(OR=0.445,95%CI为0.236~0.839,P=0.012)均是城乡居民医保补偿政策满意度的影响因子。结论参保居民对城乡居民医保补偿政策的满意度为“一般”“比较满意”。建议重点关注健康状况较差的居民,同时加强居民医保补偿政策宣传,完善就医机构资源合理配置机制,从而进一步提高居民对医保补偿政策的满意度。

Objective To investigate the satisfaction of the medical insurance insured residents of Dongguan urban and rural residents on the medical insurance compensation policy and its influencing factors,and to analyze the effective ways to improve the satisfaction and optimize the medical insurance compensation policy.Methods From October 1 to December 31,2021,a multi-stage sampling method was used to select 282 urban and rural medical insured residents from 7 towns and 2 villages in Dongguan as the survey objects.Collect data through the questionnaire survey.The satisfaction index in the questionnaire adopts the 5-level measurement method of Likert scale to statistically analyze whether the different characteristics of the insured residents had differences in the satisfaction with the medical insurance compensation policy of urban and rural residents.Binary logistic regression analysis was used to analyze the influencing factors of the insured residents’satisfaction with the medical insurance compensation policy of urban and rural residents.Results The average score of satisfaction of the insured residents with the medical insurance compensation policy for urban and rural residents was 3.13.Marital status of insured residents(χ^(2)=21.040,P=0.050),health status(χ^(2)=33.986,P=0.005),concern of medical insurance compensation policy for urban and rural residents(χ^(2)=66.311,P<0.001),awareness of medical insurance compensation policy for urban and rural residents(χ^(2)=114.173,P<0.001),time selection for medical treatment in medical institutions(χ^(2)=16.556,P=0.044)and selection of medical institutions in case of ill health(χ^(2)=16.556,P=0.002)had an impact on the satisfaction of medical insurance compensation policy of urban and rural residents.The results of logistic regression analysis showed that the health status of the insured residents(OR=0.638,95%CI:0.417-0.978,P=0.039),the awareness of the medical insurance compensation policy of urban and rural residents(OR=1.497,95%CI:1.059-2.116,P=0.022)and the choice of medical institutions in bad time(OR=0.445,95%CI:0.236-0.839,P=0.012)were all factors affecting the satisfaction of the medical insurance compensation policy of urban and rural residents.Conclusions The satisfaction of the insured residents with the medical insurance compensation policy of urban and rural residents is between"average"and"relatively satisfied".It is suggested to focus on residents with poor health status,strengthen the publicity of residents’medical insurance compensation policy,and improve the reasonable allocation mechanism of medical institutions resources,so as to further improve residents’satisfaction with the medical insurance compensation policy.