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目的了解辽宁省沈阳市城镇居民基本医疗保险满意度及其影响因素。方法采用分层随机抽样方法抽取沈阳市的1 196名非从业居民进行城镇居民基本医疗保险满意度调查,并对数据进行描述性统计分析、χ2检验及二分类logistic回归分析。结果沈阳市城镇居民对城镇居民基本医疗保险整体满意度为86.3%;不同年龄段、文化程度健康状况自评的居民对城镇居民基本医疗保险整体满意度差异均有统计学意义(P<0.01);二分类logistic回归分析表明,市级及以上医院服务质量满意(OR=3.120,95%CI=1.834~5.307)、社区卫生服务及质量满意(OR=2.361,95%CI=1.384~4.027)、报销程序满意(OR=1.905,95%CI=1.121~3.237)、报销比例满意(OR=5.612,95%CI=3.522~8.944)及解决或大部分解决看病负担(OR=6.684,95%CI=3.217~13.888)均是城镇居民基本医疗保险整体满意度的危险性因素。结论沈阳市居民对城镇居民基本医疗保险整体满意度一般,沈阳市城镇居民基本医疗保险整体满意度的影响因素主要有经办机构的服务质量、报销程序、报销比例及解决看病负担情况。
Objective To understand the satisfaction and influential factors of urban residents’ basic medical insurance in Shenyang City, Liaoning Province. Methods The stratified random sampling method was used to investigate the satisfaction of urban residents’ basic medical insurance with 1,196 non-working residents in Shenyang. The data were analyzed by descriptive statistics, χ2 test and binary logistic regression analysis. Results The urban residents in Shenyang overall satisfied with the basic medical insurance for urban residents as 86.3%. The residents with different educational level of health literacy had significant differences in overall satisfaction with urban residents’ basic medical insurance (P <0.01) ; The dichotomous logistic regression analysis showed that the quality of service in the hospitals at the municipal level and above was satisfactory (OR = 3.120,95% CI = 1.834-5.307), community health services and quality were satisfactory (OR = 2.361,95% CI = 1.384-4.0227) The reimbursement procedures were satisfactory (OR = 1.905, 95% CI = 1.121 ~ 3.237), and the reimbursement ratio was satisfactory (OR = 5.612, 95% CI = 3.522-8.944) 3.217 ~ 13.888) are the risk factors for the overall satisfaction of urban residents with basic medical insurance. Conclusion The overall satisfaction of Shenyang urban residents with basic medical insurance is generally the same. The main factors influencing the overall satisfaction of Shenyang urban resident basic medical insurance are the service quality, the reimbursement procedure, the reimbursement proportion and the resolution of the burden of medical treatment.