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目的调查不同支付模式下第二类疫苗接种意愿,为政府决策提供参考。方法选择相关领域专家,使用头脑风暴法筛选可行的第二类疫苗支付模式;分层随机抽样15岁以上人群,采用入户面对面调查。使用Excel 2003和SPSS 16.0软件进行统计分析,单因素分析采用χ2检验,以P<0.1为标准纳入logistics回归模型作多因素分析,检验水准α=0.05。结果共调查360人,有效问卷358份,男女比为1∶1.40,平均年龄(44.92±12.52)岁;农村居民占59.50%;调查对象过去1年中自费疫苗接种率仅8.66%,未接种的原因以“价格太高”的比例最高,达30.73%;logistics回归分析显示城乡差别和收入水平是接种的影响因素;定性研究提出全额财政统一支付、商业保险、社会医疗保险、混合保险、全额个人支付等五种支付模式,其中在财政统一支付的情况下,接种意愿最高,达61.73%,商业保险16.76%,社会医疗保险14.53%,混合保险5.31%,最低的是个人支付模式,仅占1.68%。结论财政统一支付模式可以有效提高第二类疫苗的接种意愿。
Objective To investigate the willingness of the second vaccination under different payment modes to provide reference for government decision-making. Methods Select experts in relevant fields, and use brainstorming method to screen the viable payment pattern of the second type of vaccine; stratified random sampling of people over the age of 15, using face-to-face household survey. Using Excel 2003 and SPSS 16.0 software for statistical analysis, univariate analysis using χ2 test to P <0.1 as the standard into the logistic regression model for multivariate analysis, the test level α = 0.05. Results A total of 360 people were surveyed and 358 valid questionnaires were collected. The ratio of male to female was 1:1.40, the average age was (44.92 ± 12.52) years old. The proportion of rural residents was 59.50%. In the past one year, The reason is that “the price is too high” is the highest, up to 30.73%; logistics regression analysis shows that the difference between urban and rural areas and the income level are the influencing factors of inoculation; the qualitative research proposes full fiscal unified payment, commercial insurance, social medical insurance, mixed insurance , Total personal payment and other five kinds of payment modes, of which the financial uniform payment, the highest willingness to inoculation, up 61.73%, commercial insurance 16.76%, social health insurance 14.53%, 5.31% mixed insurance, the lowest personal payment model , Only 1.68%. Conclusion The unified financial payment model can effectively improve the willingness of the second type of vaccination.