Comparative Analysis On The Operation Of Urban Residents And New Rural Cooperative Medical Insurance In Three Districts In Xinjiang And Its Satisfaction

Objective: By understanding the operation status of urban residents and new rural cooperative medical insurance in Urumqi,Aksu and Yili areas in Xinjiang,the changes of urban and rural medical insurance integration in Urumqi and the satisfaction of insured persons were analyzed and summarized.And provide reference for the development of medical insurance in Xinjiang.Methods: Comparative analysis in this paper is divided into vertical comparison method and horizontal comparison method.Horizontal comparison method is to select Xinjiang Urumqi,Yili and Aksu area of medical insurance system for horizontal comparative study.Longitudinal comparison method is through the analysis of Xinjiang three regions in recent years the system operation,found its problems.The self-designed questionnaire was used to investigate the awareness and satisfaction of the residents of Urumqi,Aksu and Yili,and the insured persons of the new rural cooperative medical insurance.Results: The number of insured persons in Urumqi increased from year to year,and the number of insured persons in Aksu increased to 291,900 in 2015.The number of insured persons in Yili area increased by 2015 For 317,000 people.From the number of new rural cooperative insurance,the number of insured persons in Urumqi increased from 22.87 million to 246,000,the rate of participation was 99.98%;the number of insured persons in Aksu increased to 154.23 million and the rate of participation was 99.81% The number of participants in the region increased from 1.4286 million,the rate of 99.40%.Urumqi and Aksu region increased the number of contributions;Yili area in the number of contributions in an unstable state.The amount of contributions in the three regions has increased year by year.Financial subsidies,should fill and make up the data inconsistent,there are funds in place.Urban residents and new rural cooperative medical insurance in 2015 and 2016 to compare,regardless of the payment line standards,or in the reimbursement ratio or in the cap line three places are set different standards.By the urban residents health insurance expenses and enjoy the number of treatment table can be seen,the region's per capita co-ordination of payment and yield fluctuation.The rate of outpatient treatment in Aksu area and Yili area increased,the outpatient amount was about 27 yuan,the hospitalization rate of Aksu area increased,the amount of per capita subsidy in the hospital was around 1900 yuan,the hospitalization rate of Yili area was unstable,In connection with the number of hospitalization,the amount of hospital subsidy is on the rise.In the analysis of different insured medical insurance awareness,the annual need to pay the amount of health insurance scores were statistically significant(P <0.05);from the total score can be seen that the two groups of insured people on the health insurance cognitive score did not Statistical differences,lower cognitive level.(P> 0.05).From the mean value,the two groups of insured persons were satisfied with the satisfaction degree of the medical insurance sub-items,and the scores of the insured persons were not satisfied with the satisfaction of the medical insurance sub-projects.In about 2.4.The scores of nationality,age,culture,family burden and preferred hospital type were statistically significant(P <0.05).Multivariate logistic regression analysis showed that the degree of satisfaction,nationality,and preferred hospital were statistically significant(P <0.05).Conclusion:Three areas of health insurance system improved year by year,of which Urumqi insured number,financial subsidies,health insurance related knowledge are higher than the Aksu area Yili and Yili area.Urumqi and Aksu area cap line is set too low,Yili area is not cap,set too high,health insurance system is not perfect.Three areas of health insurance income is too low,failed to meet the insured staff on the reimbursement of expectations,will affect the insured insured enthusiasm.Residents of health insurance related cognitive deficiencies,should strengthen publicity and education.Medical insurance satisfaction is related to designated hospitals.