唐山市农民工医疗保障现状及参保意愿研究

文章对唐山市农民工的医疗保障现状及参保意愿进行了调查.结果显示:农民工参保意愿较强烈,但实际参保率低;农民工是否愿意参加医疗保险以及愿意参加哪种医疗保险模式,受多种因素影响.为此,建议农民工医疗保障政策的制定应充分考虑农民工的现实情况和参保意愿.     

大学生医疗保障现状及参保意愿研究

目的 调查和分析大学生医疗保障状况及参保意愿,探讨切合学生本身意愿的医疗保障模式.方法 抽样调查唐山市2所高校1 300名大学生,采用多分类Logistic回归方法分析其参保意愿.结果 大学生城镇居民医疗保险参保率不高,学生参保受年级、对医保制度的知晓率及参保经验等多种因素影响.结论 大学生医疗保障不宜简单并入当地城镇居民医疗保险,有必要建立普通门诊医疗统筹.应充分考虑影响学生参保意愿的因素,提高参保率.     

温州市补充医疗保险的需求及其影响因素研究

根据温州市职工基本医疗保险覆盖范围 ,笔者设计了与之对应的 5个补充医疗保险方案 ,调查了职工对这些补充医疗保险方案的意愿支付情况。结果表明 :5种方案的需求价格弹性在 0 .88～ 1 .3 4之间。覆盖特需医疗服务的方案D和E需求价格弹性较大 ,覆盖大病重病的方案A接受程度最高 ,价格弹性最小 ,应优先考虑加以推广。个人经济状况、医疗服务利用及对基本医疗保险的了解程度影响补充医疗保险需求。     

医疗保险对农村成人乙肝疫苗接种意愿的影响分析

目的：探讨农民医疗保险对其乙肝疫苗接种意愿的影响.方法问卷调查河北省12个村的4020名成人,重点分析其中未接种过乙肝疫苗的2315名调查对象的接种意愿,以医疗保险为关键变量拟合 Logistic 回归模型.结果2315名调查对象中,有接种意愿者923人(39．9％).不同医保分组人群的乙肝疫苗接种意愿差异具有统计学意义(χ2＝7．795,P ＝0．020).Logistic 回归分析结果显示,在控制性别、年龄、婚姻状况、受教育程度、收入、知识得分、距离接种机构的路程时间和自评健康条件下,医疗保险会影响乙肝疫苗接种意愿,具体来说,城镇职工医疗保险及城镇居民医疗保险参保者和在新农合基础上又购买了商业健康保险者,在将来选择接种乙肝疫苗的概率是无医保者的2．577倍(1/0．388),是新农合参保者的2．278倍(1/0．439).同时,具有统计学意义的影响因素还有年龄、受教育程度和知识得分3个变量.结论将乙肝疫苗费用纳入医疗保险支付有利于防控乙肝,并符合医疗保险发展趋势.     

成都市补充医疗保险办法及职工参保情况分析

对成都市现行4种补充医疗保险办法进行比较分析,并分别比较不同社会经济状况职工的补充医疗保险参保率,为完善和发展补充医疗保险提供参考依据。     

大学生城镇居民基本医疗保险参保意愿分析

摘要:目的　分析某高校大学生城镇居民医疗保险参保意愿,探讨提高大学生参保积极性的途径。方法　采用分层抽样方法选取某高校476名大学生为调查对象,采用自编问卷调查大学生城镇居民医疗保险参保意愿及其影响因素,应用SPSS19.0进行统计分析。结果　有参保意愿人数占被调查人数的43.067%。影响大学生城镇居民医疗保险参保意愿的因素有:性别（OR＝1.872,95%CI:1.286～2.724）、月均消费情况（OR＝1.542,95%CI:1.166～2.039）、入学前留守情况（OR＝2.070,95%CI:1.431～2.993）、自我健康评价（OR＝1.701,95%CI:1.305～2.217）、健康关注状况（OR＝2.327,95%CI:1.709～3.169）、医疗就诊状况（OR＝1.617,95%CI:1.236～2.115）和医疗保险认知程度（OR＝2.232,95%CI:1.616～3.083）。结论　大学生城镇居民医疗保险参保意愿总体不强,应重视影响大学生参保意愿的因素,提高参保率。     

医疗保险制度对流动人口落户意愿的影响研究

目的 通过探究医疗保险制度对流动人口落户意愿的影响,为优化流动人口的医疗保险制度政策提供参考依据.方法 利用2017年全国流动人口卫生计生动态监测数据,运用stata15进行Logistic回归分析.结果 医疗保险制度对流动人口落户意愿产生显著性影响(P<0.05).其中新型农村合作医疗保险、城乡居民医疗保险、公费医疗...     

温州市高收入职工对特需服务补充医疗保险的需求分析

笔者设计了覆盖基本医疗保险药品目录以外药品费用和特需服务的补充医疗保险方案1和2,通过对温州市高收入职工的意愿参与和意愿支付调查,发现收入、保险价格、对保险的认知、职业情况、罹患慢性病及其对基本医疗保险的了解程度等是影响高收入者对这两种方案意愿参保的主要因素;需求价格弹性分别为-1.07和-1.29。覆盖特需服务的补充医疗保险应注重个性化和多样化需求,并需注意逆向选择。     

城镇职工补充医疗保险的组织与筹资研究

目的探索市场经济条件下我国城镇职工补充医疗保险适宜的组织与筹资模式。方法通过在上海、温州和成都三地对补充医疗保险的参加意愿、支付意愿和实际参保情况进行调查,对国内不同运作模式进行总结与比较分析,以期对可行的补充医疗保险覆盖范围及其组织运作进行前瞻性分析。结果获得了职工对不同补充医疗保险方案的需求特征,提出了补充医疗保险适宜的覆盖范围及其组织运作模式。结论建议要明确界定政府在补充医疗保险发展中的职能定位,要依靠政策扶持与引导,推进补充医疗保险的发展;要加强对补充医疗保险的监管等。     

城镇居民医疗保险的参保意愿问题研究——以广州市城镇居民医疗保险为例

各地城镇居民医疗保险开始试行,居民的参保意愿直接决定着该政策是否能顺利实施.从广州市城镇居民医疗保险的相关规定和开展的情况看,身体状况差的老、幼人群参保意愿强,而身体状况好的人群不愿意参保.这种情况将导致居民医保基金运行风险增强.建议建立居民医保的个人帐户,探索建立将缴费年限与待遇水平相挂钩的机制,并逐步将居民医保与职工医保相衔接,纳入统筹管理.     

Participation factors in a occupational health colorectal cancer screening program

A colorectal cancer screening campaign by Hemoccult test was carried out from January 1993 to December 1994 in collaboration with the company doctors of employees ages 45 and older in the companies of the Lot department of France. Of the 1311 employees to whom the test was offered, 811 actually had the test done, representing a rate of participation of 61.9%. Participation varied from 48.1% to 72.7% depending on the company doctor, and was higher for large companies. Managers participated less than other employees. People who never visit a dentist, who had not seen their doctor for over a year or who never give blood participated less than others. Thus, even though company doctors can play a true role by favouring the participation of general employees, their action is limited by the weak participation of people who already have little contact with the health care system.     

Effectiveness of health promotion programs in moderating medical costs in the USA

Although evidence from scientific evaluations of health promotionprograms has demonstrated improvements in selected health outcomes,the relationship between participation in health programs anddefinitive economic returns in medical cost savings has beenmore difficult to establish. The purpose of this study is toevaluate the effect of employee participation in health promotionprograms with selected medical cost outcomes. Program participationwas operationalized as a summed participation score based onemployee program participation data. Increasing levels of programparticipation were associated with increasingly higher medicalcosts but not with higher numbers of health risks. A Cost ChangeModel was developed to investigate the relationship betweenprogram participation and changes in cost status (high cost/lowcost) over a 6-year time period. Program participation was highestamong the high-cost employees. Participation patterns may havereflected the appeal of most health promotion programming tohigh-risk/high-cost employees. Over time those employees whoparticipated in a comprehensive health promotion program, includingintervention programs, experienced moderation in medical costs.In contrast, for those employees with participation primarilyconcentrated in health risk awareness and identification programs,medical costs continued to increase. These findings provideevidence for the effectiveness of a comprehensive health promotionprogram in moderating medical care costs.     

Employee choice of flexible spending account participation and health plan

Despite the fact that flexible spending accounts (FSAs) are becoming an increasingly popular employer-provided health benefit, there has been very little empirical study of FSA use among employees at the individual level. This study contributes to the literature on FSAs using a unique data set that provides three years of employee-level-matched benefits data. Motivated by the theoretical model of FSA choice presented in Cardon and Showalter (J. Health Econ. 2001; 20(6):935-954), we examine the determinants of FSA participation and contribution levels using cross-sectional and random-effect two-part models. FSA participation and health plan choice are also modeled jointly in each year using conditional logit models. We find that, even after controlling for a number of other demographic characteristics, non-whites are less likely to participate in the FSA program, have lower contributions conditional on participation, and have a lower probability of switching to new lower cost share, higher premium plans when they were introduced. We also find evidence that choosing health plans with more expected out-of-pocket expenses is correlated with participation in the FSA program.     

Consumer determinants of the use of health plan information in plan selection.

One of the major issues in achieving optimum levels of performance in health-care markets is to enhance consumer understanding of their health plan choices in order to facilitate the expansion of 'high-value' health plans at the expense of 'low-value' health plans. The Federal government offers employees many choices of health plans and provides large amounts of information on all of these options through (1) comparative written health plan information, (2) information from the health plans themselves, and (3) comparative health plan information on the Internet. The present study examines the degree to which 1722 Federal employees in the Department of Health and Human Services utilized health plan information from the above three sources in making their annual health plan selection. Results indicate that most employees (64%) used at least one information source, with written information from health plans the most common (53%), followed by comparative written information in The Guide (32%) and the Internet (16%). Those employees who regularly search for information prior to making an important purchase, those with a short time in their current plan, those with family coverage, Whites, African-Americans, and men were all more likely to use health plan information to make their annual choice. The Internet was accessed more often by younger and higher paid employees. Implications for policy and future research are discussed.     

Variations in utilization of a multi-state company dental plan.

A study was conducted of family records and claim forms of a company-sponsored dental plan to determine the effects of several demographic variables on utilization of the plan and on patterns of expenditure. The plan was non-contributory on the part of the employees. Individual utilization of the plan (at least once during the study year) closely approximated the average for the entire U.S. population. Salaried employees, and families, were more likely to use the plan than hourly-paid employees and families. High income families were more likely than lower income families to use the plan. Most of the independent variables (income, age, hourly versus salaried) correlated with utilization patterns in a predictable manner. A notable exception was when one looked from one division of the corporation to another, with 25 per cent of families in one division using the plan in the study year, compared to 90 per cent at another division. The reasons for these dramatic differences may be related, at least in part, to institutional factors rather than to patient behavior, and further study is indicated.     

安徽省某公立医院员工薪酬满意度影响因素调查分析

目的分析公立医院员工薪酬满意度影响因素,为薪酬设计方案提供依据。方法采用整群随机抽样的方法选择2017年8月—2019年8月安徽省某公立医院1200名在职员工作为研究对象,采用自行设计的薪酬满意度调查问卷对员工满意度进行调查,对调查结果进行统计学分析。结果本研究调查对象薪酬满意度平均评分(3.62±0.73)分,薪酬总满意率为56.79%。不同年龄、学历、岗位、类别、技术职称的员工薪酬满意率之间的差异有统计学意义(P<0.05),年龄较大、学历高、临床医师、非在编人员以及高级职称员工薪酬满意率较高。结论年龄、学历、岗位、类别、技术职称是影响公立医院员工薪酬满意度的主要因素,医院应根据薪酬满意度影响因素结合医院实际制定科学的薪酬方案。     

Carroll County 'fulfills the promise'. Employee participation gives effort a major boost

A five-year expansion plan at Carroll County General Hospital, Westminster, Md., will include an expanded emergency room, a five story inpatient tower and an inpatient hospice home. The fundraising campaign started with efforts to raise $8 million among the hospital's 1,300 employees as well as volunteers and community members. Planners attribute the "incredible results" to employee participation.     

Perspectives on the receipt of a COVID-19 vaccine: A survey of employees in two large hospitals in Philadelphia

BackgroundHealth care personnel have been identified by the ACIP as a priority group for COVID-19 vaccination. We conducted a survey in November-December 2020 at two large, academic hospitals in Philadelphia to evaluate the intention of hospital employees to be vaccinated.MethodsThe survey was sent electronically to all employees (clinical and nonclinical staff) at a children’s hospital and an adult hospital. The survey was voluntary and confidential. Questions focused on plans to receive a COVID-19 vaccine when available, reasons why employees would/would not get vaccinated, when employees planned to be vaccinated, vaccine safety and efficacy features that would be acceptable, and past history of receipt of other vaccines by the employee and family. Responses were analyzed using univariate and multiple logistic regression methods.ResultsA total of 12,034 hospital employees completed the survey (a 34.5% response rate). Overall, 63.7% of employees reported that they planned to receive a COVID-19 vaccine, 26.3% were unsure, and 10.0% did not plan to be vaccinated. Over 80% of those unsure or unwilling to be vaccinated expressed concerns about vaccine side effects and the vaccines’ newness. In multivariable logistic regression, persons planning to take a COVID-19 vaccine were more likely to be older, male, more educated, Asian or White, up-to-date on vaccinations, without direct patient contact, and tested for COVID-19 in the past. No significant difference in intention to be vaccinated was found between those with higher versus lower levels of exposure to COVID-19 patients or the number of previous exposures to patients with COVID-19.ConclusionsWhile the majority of hospital employees are planning to receive a COVID-19 vaccine, many are unsure or not planning to do so. Further education of hospital employees about the safety, efficacy, and value of the currently available COVID-19 vaccines is critical to vaccine acceptance in this population.     

Need adjustment of utilization of occupational health promotion for reducing back pain? Results of an employee survey of the metal industry

We analysed data of a cross-sectional survey of 974 employees in the German metal industry to determine the degree to which worksite health promotion matches the needs of employees. 27% of study participants have already taken part in individually oriented health promotion, and another 48% want to participate most readily in activities aiming at preventing and reducing musculo-skeletal complaints. Recent participation (within a fourteen-month period) in these classes was low among male blue collar workers (7%) compared to male and female white collar employees (18 and 26%). Among blue collar workers the percentage of subjects who suffered from chronic back pain and did not recently participate in the relevant classes of the company health insurance plan (unserved prevalence) was 30%, compared to 17 and 26% in male and female white collar employees. Participants were less exposed to work-related predictors of chronic back pain than non-participants. Participants were, however, more often afflicted with chronic back pain than non-participants. In addition, the intention to participate was strongly associated with this type of complaint. Shift work was the most important single explanation for the low participation rates of blue collar workers. Suggestions are advanced to neutralise the adverse effects of shift work on participation, to strengthen the primary preventive functions of individual worksite health promotion, and to integrate it with structural measures of health and safety at work.