中国公众的医疗保障信任调查报告(2013)

Report on the Chinese Public Trust of Medical Security System

社会型医疗保障体系由"需方""供方""保方"和"管方"四要素构成。医疗保障体系信任体现的是公众对医疗保障体系中供方、保方和管方等三方的信任程度。问卷调查结果显示:我国公众对医疗保障体系总体信任水平中等偏高。其中,对供方信任水平最低,对管方信任水平中等偏高,对保方信任水平最高。调查还发现,公众对非政府主导的医保行为的信任水平偏低。医疗保障信任水平受到城乡地域和工作类型的影响。供方市场化、管方间接化、保方多元化,厘清市场与政府的关系、盘活医疗资源、实现多层次的医疗保障覆盖,是提高公众医疗保障体系信任的有效途径。

The Social Medical Security System was composed of four elements： the medical demander, the medical supplier, the medical insurance and the health administration. The trust of medical security system reflected the public＇s trust in the ＂supplier＂, ＂insurer＂ and ＂health administration＂. According to this survey, the score of the overall trust of medical security system was moderate higher than average. Particularly, public＇s trust in the supplier was the worst; the trust level in the health administration was medium to high, and trust in the insurer was the best. The report also found that, the public＇s trust in the non-government medical security was worse. The overall level of trust in Medical Security System was affected by region and work type. There are several possible solutions to improve the public trust in medical security effectively, including promoting the marketization of medical supplier, facilitating the rationalization of indirect administration management, furthering pluralistic operation in insurance companies, clarifying the relationship of market and government, reinvigorating the medical resources and increasing multi- level medical insurance coverage.