上海周浦社区老年人基本医疗保险满意度及影响因素调查研究

Basic medical insurance for the aged from Zhoupu communities in Shanghai:analysis of satisfaction and influencing factors

目的调查老年人对基本医疗保险的满意度及其影响因素,为医保政策的调整和完善提供参考。方法采用整群随机抽样方法抽取上海市浦东新区周浦社区367位老年人做入户问卷调查,调查社会人口学特征、医保类型、慢性病及其医疗消费等情况。运用SPSS 17.0软件进行描述性统计分析、χ2检验和无序多分类logistic回归分析。结果共获得有效问卷357份,有效率为97.3%。职工医保参保者满意度较高,居民医保和小城镇医保参保者满意度较低,差异有统计学意义(P<0.001)。单因素和多因素分析均显示,收入、慢性病种数和健康自评等差异有统计学意义(P<0.05)。结论城市非从业居民和农村征地居民的医疗保障待遇有待进一步提高。

Objective To investigate satisfactory degree on basic medical insurance system for the aged and to provide more data for improving insurance policies. Methods A face to face questionnaire survey was carried out with 367 elderly residents in Zhoupu communities in Shanghai using cluster random sampling method. The survey included social demographic characteristics, medical insurance, chronic disease, health cost, etc. The data were analyzed using descriptive statistical analysis, Chi-square test and multivariate logistic regression analysis by SPSS software. Results Totally 357 effective questionnaires were collected, with the effective rate being 97. 3G. The overall satisfaction rate of the retired employees was high according to our survey, but the satisfaction rates of urban non employed residents and land requisitioned peasants were relatively low （P〈0. 001）. Single factor analysis and multiple factor analysis both revealed that income, number of chronic diseases and self rating health had significant association with satisfaction rate of the participants （P〈0.05）. Conclusion The basic medical insurance for urban non employed residents and landless peasants needs to be further improved.