Study On The Satisfaction And Influencing Of Basic Medical Insurance Participants Of Urban And Rural Residents At Alar City Of The First Division

The basic medical insurance system for urban and rural residents is an important part of Chinese medical security.It reduces the economic pressure of medical treatment for the people through the sharing mechanism of medical insurance funds,and is the prerequisite for maintaining social equity and sustainable economic development.Since its implementation in 2016,the basic medical insurance for urban and rural residents in Alar City of the First Division has made great progress,but the system still has shortcomings in operation,such as uneven distribution of medical resources,rapid growth of medical costs,small reimbursement coverage and other prominent problems.Besides,with the development of economy and society and the change of medical insurance demand of insured personnel,The satisfaction of the insured is also changing,so it is of great significance to study the satisfaction of the insured on the basic medical insurance for urban and rural residents to promote the sustainable development of the system.Based on theories such as social equity theory and attribution theory,this paper summarizes the medical insurance policies,management agencies and designated medical institutions of the basic medical insurance for urban and rural residents in the First Division of Alar City,and selects the 4th,6th,8th and14 th districts of the First Division of Alar City as the research areas.Stratified sampling was used to conduct a questionnaire survey on the personnel who participated in the basic medical insurance for urban and rural residents in the First Division of Alar City in the research area.Meanwhile,multiple regression analysis was used to study the factors influencing the satisfaction of the insured personnel on the basic medical insurance for urban and rural residents from three dimensions: demographic characteristics,medical insurance policies,handling agencies and designated medical institutions.In order to put forward some targeted policy suggestions for the improvement of the basic medical insurance for urban and rural residents in the First Division of Alar City,but also give some experience reference to other areas..Through research,the main conclusions of this paper are as follows:(1)The participants’ overall satisfaction with the system was high,with an average of 3.36;Among the three dimensions of overall satisfaction,the satisfaction rate from high to low is: handling institutions(54.72%),medical insurance policy(44.84%),designated medical institutions(41.82%),and the average satisfaction rate is: handling institutions(3.49),designated medical institutions(3.35),and medical insurance policy(3.26).(2)The age,health status and understanding degree of medical insurance policy of the insured had a significant impact on the overall satisfaction,and the medical insurance policy,handling agency and designated medical institution all had a positive impact on the overall satisfaction.Among them,reimbursement scope,reimbursement ratio,medical insurance catalog,individual payment standard and hospitalization line from the dimension of medical insurance policy are the main influencing factors of overall satisfaction,and the influencing coefficients are 0.0925,0.0877,0.0777,0.0763 and 0.0731,respectively.From the handling agency dimension,the supervision intensity,work efficiency and service attitude of designated medical institutions were the main factors affecting the overall satisfaction,and the influence coefficients were 0.08,0.0765 and 0.0727,respectively.In the dimension of designated medical institutions,the convenience of two-way referral is the main factor affecting the overall satisfaction,and the influence coefficient is 0.076.(3)Based on the results of the study on the satisfaction of the basic medical insurance participants of urban and rural residents in Alar City of the First Division and the influencing factors,this paper puts forward some policy suggestions to improve the satisfaction of the participants: first,strengthen the government’s responsibility and improve the policy system;Second,we need to strengthen the capacity building of handling institutions.Third,we need to rationally allocate medical and health resources.