| 摘要: |
| 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。 |
| 关键词: 老年人 基本医疗保险 满意度 问卷调查 |
| DOI：10.3724/SP.J.1008.2014.00117 |
| 投稿时间：2013-09-12修订日期：2013-11-14 |
| 基金项目:国家自然科学基金（71073171）. |
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| Basic medical insurance for the aged from Zhoupu communities in Shanghai：analysis of satisfaction and influencing factors |
| TENG Hai-ying1,XIONG Lin-ping2*,LIU Pei1,ZHOU Li-na3,MA Yu-qin2 |
(1. Department of Mathematics and Physics, College of Basic Medical Sciences, Second Military Medical University, Shanghai 200433, China;
2. Department of Health Service Management, Faculty of Medical Services, Second Military Medical University, Shanghai 200433, China;
3. Department of Patient Services, Zhoupu Hospital, Shanghai 201318, China
*Corresponding author.) |
| Abstract: |
| 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 97.3%. 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. |
| Key words: aged basic medical insurance satisfaction questionnaires |
