A Study On The Medical Insurance Staff Composition And Skills Training In Military A-level Tertiary Hospital

Objective:To compare the current situation of medical insurance staff’s composition and their skills training between military and local A-level tertiary hospital, to learn medical insurance staff’s composition and their skills training situation and influencing factors in military A-level tertiary hospital, to find problems and present the countermeasure and suggestion, and to provide some references for improving the military A-level tertiary hospitals’ medical insurance services ability in the situation of new medial reform.Methods:1. Literature research : Literatures on medical insurance staff and training were extensively reviewed, and beneficial measures and strategies were summarized based on the actual situation in one military A-level tertiary hospital in Chengdu Military Region to provide guidelines for this study.2. Questionnaire investigation:120 medical insurance staffs in 6 military A-level tertiary hospitals and 6 local A-level tertiary hospitals were random selected, and Medical Insurance Staff Composition and Skills Training Questionnaire was anonymously applied to learn insurance staff’s personal information(gender, age, education, rank, and etc.), their skills training situation, and their demands and advices on skill training. The questionnaires were taken back on the spot, and sent back to investigation team by mail after being carefully examined to ensure information on each item was complete and correct.3. Data processing:After carefully examining and checking, information data was entered into Excel 2013 and database was built. SPSS 13.0 was used in statistical analysis, and χ2 test was applied when comparing different samples, with statistically significant result(P<0.05).Result:120 questionnaires were given in military and local hospitals(half-and-half), and all were taken back. The recovery rate of effective questionnaire was 100%. Compared with those in local A-level tertiary hospitals, staff members in military A-level tertiary hospitals had higher education and rank level(P<0.05), however, the number of staffs participating skill training in local hospital was higher than that in military hospital.1. There was no statistical difference(P=0.1051)in gender comparison between military and local A-level tertiary hospital medical insurance staff, with 21 male and 39 female in military A-level tertiary hospital and 13 male and 47 female in local A-level tertiary hospital.2. Although military A-level tertiary hospital insurance staff had youth oriented tendency( with fewer members are above the age of 40), there was no statistical difference(P=0.177)in age comparison between military and local A-level tertiary hospital medical insurance staff, with 5 people<30, 19 people 30-39, 29 people 40-49, 7 people ≥50 in military A-level tertiary hospital and 2 people<30, 12 people 30-39, 33 people 40-49, 13 people ≥50 in local A-level tertiary hospital.3. There was statistical difference(P<0.05) in education level between military and local A-level tertiary hospital medical insurance staff, with fewer graduates from vocational secondary schools and colleges, and more graduates from universities and postgraduates in military hospital. There were 7 graduates from vocational secondary schools and 15 from colleges, 29 from universities and 9 postgraduates in military A-level tertiary hospital insurance staff, and 16 graduates from vocational secondary schools and 30 from colleges, 13 from universities and 1 postgraduate in local A-level tertiary hospital medical insurance staff.4. There was statistical difference(P<0.05) in professional rank level between military and local A-level tertiary hospital medical insurance staff, with fewer primary title and more senior vice title in military A-level tertiary hospital, including primary title 7, the Intermediate Title 38, senior vice Title 12, other title 3 in military A-level tertiary hospital and primary title 13, the Intermediate Title 35, senior vice Title 4, other title 8 in local A-level tertiary hospital.5. There was no statistical difference(P=0.0610) in professional background between military and local A-level tertiary hospital medical insurance staff, with no insurance personnel, fewer medical and financial personnel, and more nursing, medical technical and workers in military A-level tertiary hospital.6. There were fewer people participating in skill training in military A-level tertiary hospital insurance staff, compared with those in local A-level tertiary hospital. Medical insurance staff skill training included insurance policy training, information technology training, drug catalog training, academic exchange, and etc. In 2012, there were 78 people participating in insurance policy training, 51 in information technology training, 45 in drug catalog training, 42 in academic exchange(in total 216) in military A-level tertiary hospital, and 156 people participating in insurance policy training, 73 in information technology training, 94 in drug catalog training, 74 in academic exchange(in total 397) in local A-level tertiary hospital.Conclusion:1. Medical insurance management system was basically completed in military A-level tertiary hospital.2. Medical insurance personnel structure need to be further optimized in military A-level tertiary hospital. At present, there was more female than male and more older people.3. It was comparatively reasonable for school record and professional title distribution in military A-level tertiary hospital medical insurance staff.4. Medical insurance staff skill training in military A-level tertiary hospital was quite lag behind that in local A-level tertiary hospital. Members participating in skill training were relatively fewer than those in local A-level tertiary hospital, and the training quality was poor.Suggestion:The importance of work for medical insurance should fully be understood by competent authorities in military A-level tertiary hospital. Medical insurance staff’s gender and age structure should be adjusted and optimized in military A-level tertiary hospital. And further education for staff in service monitoring system and medical insurance staff skill training mechanism should be established and strengthened.