Research On The Satisfaction Of Shijiazhuang Basic Medical Insurance For Urban And Rural Residents

The report of the 19 th National Congress of the Communist Party of China pointed out that the health of the people is an important symbol of national rich and national prosperity.In recent years,China has attached great importance to the health of the people and strives to build a healthy China,and medical insurance plays a pivotal role in building a healthy China.The basic medical insurance system,as a basic policy,plays a more important role.The basic medical insurance for urban and rural residents in Shijiazhuang City has been running for more than two years.During this period,certain achievements have been made,and of course some problems have been exposed.In order to understand the implementation status of local medical insurance policies,enrich the application of customer satisfaction theory in medical insurance,find problems in the operation of policies,and put forward some suggestions for improvement in a targeted manner to promote the full play of medical insurance to protect people’s health,research on the satisfaction of basic medical insurance is conducted.This study will take the basic medical insurance for urban and rural residents in Shijiazhuang as the research object,and briefly describe the current basic medical insurance policy,focusing on the perspective of insured residents,based on the theory of customer satisfaction and public policy evaluation,and the data and interview records of the questionnaires.Based on the information,we will take a satisfaction research on the three links of the medical insurance:participating in medical insurance,using medical insurance and medical insurance management and service.By research and analysis,we will explore the factors affecting satisfaction and the reasons for the low satisfaction of a certain link,find some problems in the operation of the policy and put forward a series of opinions and suggestions for improving the policy.The study will use descriptive statistical methods to summarize the current policies and implementation status of basic medical insurance;use the chi-square test to analyze the differences in satisfaction evaluation among different groups;use the weighted average method to measure the satisfaction of the evaluation indicators of three links in medical insurance.The research results show that residents’ understanding of medical insurance policies is at a general level,and most of them only have a semi-understanding of the policies and have narrow channels of understanding.Most residents are insured because they believe that medical insurance can reduce the burden of medical care,the main factors that affect the willingness to participate in the insurance are insurance expenses,reimbursement rates and the scope of reimbursement.There are significant differences in the satisfaction evaluation of different education level,insured group,health status and understanding degree of medical insurance policy,and the higher the education level,the better the health status,and the better the understanding degree of medical insurance policy,the higher the satisfaction evaluation was.The survey on all aspects of medical insurance policy shows that the satisfaction with the use of medical insurance is the lowest,among which the satisfaction with the payment line is the lowest.After the analysis,the following problems are found: There is a rapid increase in residents ’insurance expenses,which is significantly faster than the growth rate of government subsidies,and increases the burden of residents’ medical insurance;The method of insurance coverage is more primitive,the efficiency of insurance coverage is relatively low,and the error rate is higher,which affects the residents ’medical insurance rights to a certain extent;In addition,there are no good incentives for residents who are continuously insured,and the above issues directly affect the residents’ willingness to participate in the insurance.There is a narrow scope of medical insurance reimbursement in the use of medical insurance,which is mainly reflected in the fact that outpatient clinics are not covered by medical insurance reimbursement,and there are fewer reimbursable drugs and consultation lists.Compared with high medical expenses,medical insurance coverage is low.But the procedure of medical insurance reimbursement also has a lot of inconvenience.The management and service links of medical insurance mainly have medical insurance services that are not comprehensive enough,pay attention to the handling of more business,the policy propaganda is small,and the propaganda method is relatively traditional,resulting in a low level of residents ’understanding of policies;The health insurance service pays more attention to the results of the insurance,and pays less attention to the implementation of medical insurance policies.In response to the above problems,the following suggestions are put forward: first,we should improve the system and mechanisms to promote the participation of all people in the insurance system.The specific measures are to gradually raise the overall level of medical insurance,innovate ways to improve the payment of insurance contributions,and explore various measures to attract and guide residents to participate in the insurance system.Second,we need to optimize the design of the medical insurance system to ensure that residents use it efficiently,by expanding the scope of medical insurance reimbursement in various ways,and appropriately raising the level of medical insurance coverage,such as reducing the initial payment line and increasing the reimbursement ratio,and finally making use of modern Internet technology.We should vigorously increase the efficiency of the use of medical insurance.Third,we should increase government support,improve the management and service levels of medical insurance,increase publicity for medical insurance policies,improve publicity methods and raise residents ’awareness of policies.In addition,we need to pay more attention to the effectiveness of policy implementation.We need to broaden the channels for feedback and suggestions from residents,increase research on the effectiveness of policy implementation,and realize the virtuous circle of "policy implementation--identifying problems--solving problems--re-implementation",so as to continuously improve the quality and level of public services.In turn,it improves residents ’word of mouth and satisfaction.