老年人医疗保险认知度及其影响因素分析

Study the Cognition Status on Current Medical Insurance and its Influencing Factors among Elderly People in Changzhi City

目的了解老年人对现行医疗保险制度认知现状及其影响因素。方法采用分层整群抽样方法,抽取长治市3个社区1128名老年人为调查对象。调查内容有:一般情况、健康状况、医疗保障情况和医疗保障认知度。结果长治市老年人对现行医疗保险认知度低,只有22.0%的老年人有一些了解。多因素有序logistic回归分析显示:年龄低、文化程度高、退休前职业为教育医疗行业、年收入高、自我健康评价好、坚持锻炼、经常体检、关注保健知识、健康状况差的老年人对医疗保险制度认知度高。结论需要采取措施提高老年人对医疗保险制度认知度。

Objective To study the cognition status of elderly people in Changzhi city for the medical insurance system and the influencing factors. Methods 1128 elderly people w ere chosen from 3 communities in Changzhi city by using stratified sampling method. A self-administered questionnaire method w as used to collect data. Results The cognitive level of elderly people w as low. Only 22. 0% elderly people had cognition for the public health services. Logistic regression analysis w as applied. It indicated that there are relevance betw een age,level of know ledge,profession,income,self-rated health,physical exercise,health examination,health know ledge,health condition and cognitive level of elderly people. Conclusion It should be done for local governments to enhance the policy propaganda w ork and health education to improve cognitive level among elderly people.