Investigation On The Use Of Personal Account Of Basic Medical Insurance For Urban Employee In Shenyang City

ObjectivesTo understand individual account of basic medical insurance for urban employees in the outpatient,hospital,pharmacy utilization and the insured employees on personal accounts awareness,attitudes and recommendations,with a view to the medical insurance department of individual accounts to provide basic information on the reform policy in Shenyang city.MethodsIndividual account in the outpatient,hospital and phannacy utilization data from the Shenyang Medical Insurance Agency 2008-2011 database;the survey in the first quarter of 2012 in pharmacy using a cluster sampling method to extract 360 pharmacy;Insured employees to individuals Account awareness survey using multilevel stratified sampling method to take the insured employees 7530 people.Data analysis using dynamic sequence,descriptive statistical analysis,?2 test,and with Excel 2007 and SPSS 22.0 to achieve.Results1.Individual account balance:(1)The balance of individual accounts and the balance of individual accounts in 2008-2011 increased year by year.The annual growth rate of individual accounts in 2009 and 2011 was 35.05%,24.45%and 21.54%respectively.The annual growth rate of individual accounts was 24.75%,29.15%and 28.04%respectively.(2)The balance of individual account and the balance of individual accounts are"diamond" distribution;The balance of accounts of state organs is the least,but the balance of individual accounts per capital is the same as the balance of individual accounts.Relative to the largest,business units are the opposite;more than 45-year-old per capital account balance is higher than the age of less than 45 years of age;retired workers,61-70 years old per capital personal accounts balance and the highest balance,50 years old and above retired employee accounts balance and minimum balance.2.Individual account in the outpatient,hospital,pharmacy payments:the highest proportion of pharmacy expenditure,the lowest proportion of hospital spending,outpatient and hospital expenditure were increasing year by year trend,pharmacy spending year by year decline.3.Pharmacy 2012 first section of the survey:357 pharmacy sales amounted to 304.887 million yuan,health insurance card sales totaled 18507.35 million,the latter accounted for 60.70%of the former;health insurance card sales,the amount used for drugs 78.61%of the total sales,of which prescription drugs accounted for 46.86%,non-prescription drugs accounted for 53.14%;for the amount of medical equipment for the total sales of 12.09%,the other accounted for 9.3%.4.Investigation of insured employees:(1)Cognitive situation:the proportion of employees participating in the allocation of personal accounts is 46.07%,and the difference between gender,age,education and region is significant;pay the threshold fee,pay the pays,accumulate and interest Can be inherited to know the proportion were 40.98%,46.51%,28.12%and 26.63%,and the suburbs higher than the urban area.(2)Insured employees in the hospital often use the proportion of individual accounts accounted for 44.52%in the pharmacy often use the proportion of 62.41%.(3)On the whole,the proportion of convenience in the hospital health insurance card is 54.82%,the proportion of cash convenience is 20.32%.(4)Among the respondents,41.98%of the insured employees concerned about individual account balance;13.72%of people will go cash.(5)Among the respondents,it is recommended that the number of individuals who completely cancel their individual account accounts for 6.6%and 49.01%of the respondents disagree with the payment of individual accounts to designated designated medical institutions.ConclusionsThe amount of individual accounts in the outpatient service and hospitalization increased year by year,the amount of use in the pharmacy decreased year by year,but the utilization rate of the pharmacy was the highest;Shenyang city insured workers to the individual Account recognition rate,utilization and attention are low;cancel the individual account is not desirable,should further increase the scope of individual account to pay,not limited to designated designated medical institutions.