新农合大病患者满意度分析——基于B市三区县484名患者的调查研究

目的:了解大病患者对新农合大病保险政策的满意程度,为卫生行政部门开展有效管理和完善政策内容提供参考依据。方法:根据典型抽样原则,对B市三个远郊区县484名享受2013年大病保险补偿的患者进行问卷调查,并结合其医疗费用信息进行分析。结果:大病患者平均医疗支出约占家庭总支出的84.57%,强制性医疗支出较高,家庭疾病经济负担较重,新农合大病保险政策提高了患者医疗费用的补偿额度,三区县实际补偿比平均提高4.79%,保障作用明显。患者对大病保险基本态度平均分为(3.95±1.05)分,88.43%的大病患者愿意个人缴费继续参保。结论与建议:大病患者对大病保险政策的总体满意度较高,建议短期内保持现有筹资方式,维持制度稳定性,在基金承受范围内合理提高补偿比,加强宣传教育。

Patients' satisfaction on catastrophic medical insurance of New Rural Cooperative Medical Scheme: Analysis of 484 patients in three districts of B city

Objective: To understand the patients' satisfaction on catastrophic medical insurance of New Rural Cooperative Medical Scheme (NRCMS), and provide references for effective management and policy improvement. Methods: According to the principles of representative sampling, a questionnaire survey conducted. 484 patients got compensation for catastrophic insurance in 2013 were surveyed, and information of medical costs was analyzed. Results: The average medical cost accounts for 84.57% of total household expenditure. Mandatory medical expenditure is still high and economic burden of diseases is heavy. This policy has increased the compensation rate, and the actual compensation rate increases 4.79% in three districts. The average score of patients' attitude toward catastrophic medical insurance is (3.95 ± 1.05) points, 88.43 % of patients continue to participate in medical insurance. Conclusions and suggestions: Patients' satisfaction on catastrophic medical insurance of NRCMS is high. It is suggested that the existing financing modes should maintain stability in the short term, and the compensatory rate should be improved reasonably.