新疆城镇居民和新农合参保者对医疗保险制度的满意度调查

Survey the satisfaction of urban residents and new rural cooperative medical system participants to medical insurance system in Sinkiang

[目的]了解新疆城镇居民和新农合参保者对医疗保险的满意度情况及影响因素,为今后的整合工作提供参考依据。[方法]通过问卷调查了解城乡居民对参加医疗保险的认知情况和对医疗保险制度、医保管理部门的满意情况,使用均数、标准差进行描述性分析,使用单因素t检验进行检验,使用二分类logistic回归分析来分析影响因素。[结果](1)城镇居民和新农合参保人员对医保的认知平均得分分别为(2.68±0.984)分和(2.60±1.059)分,两组对保险分项目满意度的平均得分分别为(2.436±0.565)分和(2.430±0.594)分,两组间差异无统计学意义。(2)不同民族、年龄、文化水平、家庭负担及首选医院类型特征的参保人员满意度得分差异有统计学意义(P<0.05)。汉族的满意度低于少数民族的满意度,文化水平越低满意度越高,家庭负担越重满意度越高,定点医院级别越高满意度越高。[结论]新疆两组参保人员对医保的认知水平及满意度均较低,不同民族、年龄、文化水平、家庭负担及首选医院类型是影响参保人员满意度的因素。

Objective To understand the satisfaction degree of urban residents and new rural cooperative medical system （NCMS） participants to medical insurance system in Xinjiang so as to provide reference for future integration working. Methods Knew the awareness of urban residents to participate in medical insurance and the satisfaction of medical insurance system and medical insurance management department. It descrip- tively analyzed was by MeAN standard deviation, tested was by single factor t test, and analyzed the influence factor was by dichotomy logistic regression. Results 1. The average awareness score of urban residents and NCMS participants to medical insurance was 2. 68 ± 0. 984 and 2. 60 ± 1. 059 respectively. The average satisfaction score of two groups to part items of insurance was 2. 436 ± 0. 565 and 2. 430 ± 0. 594 respectively. There was no statistical significant in the difference between two groups （P 〈 0. 05） . 2. There was statistical significant in satisfaetion scores difference of the participants with different nationalities, age, education level, family burden and first choice of hospital type （P 〈 0.05） . The satisfaction of Han nationality was lower than minority＇s. The higher of satisfaction the lower of education level was. The higher of satisfaction the more serious of family burden was. The higher of satisfaction the higher level of fixed - point hospital was. Conclusions The satisfaction and awareness of two groups participants to medical insurance was low. The factors of influencing participants＇ satisfaction are different nationalities, age, education level, family burden and first choice of hospital type.