| In world health report in2006the world health organization says:"medical and health services is a common need of People’s Daily life, so the important responsibility of state and society and inner need is to ensure that all people access to basic medical and health services". Health insurance in China, including commercial health insurance, allowances for FuXing medical insurance, medical insurance, basic medical insurance cost type. The insurance of primary medical treatment is an important part of national social security system and one of the important projects of social insurance. Since2003, Chinese government began to vigorously promote the reform of medical security. After a series of pilot policies, in April2009the state council promulgated the "on deepening medical and health system views",it marks that a coverage of urban and rural residents health protection network has been formed. Shihezi city as a county-level administrative units, the end of2008,the government officially launched the shihezi city residents’basic medical insurance work, with the constant innovation and development of health care reform, the social basic medical insurance system has been greatly improve, effectively promotes the three universal public health care system of forward development, and actively explore the new urban and rural residents health care system, speeds up the construction of medical security system of urban and rural integration, enhances overall level, narrows the treatment of urban and rural differences, promotes cohesion between system transformation, gradually promots health care management, handling, and the policy of "three unified". Although the implementation of these policies and the establishment of the system have obtained certain achievements, but there is still a gap from designers’original intention and People’s expectations. The core of the medical security in China is to expand health care coverage, reduce the medical burden of the individual, in order to meet the medical needs of people, improve the health of the residents. AS pilots, and promoting the implementation of a vatiety of programs, the current urban and rural medical insurance has covered more and more people. Residents that are attached to the covers, however, still lack of the cognition of health information which makes the people to have certain errors when they demand for health care decisions. These certain errors also make our health insurance policy in improving residents’health demand side effect is not satisfactory.Cognition and information transfer efficiency to a certain extent affects the effective implementation of the medical insurance policy.On the basis of the analysis of the knowledge of existing basic medical insurance Comprehensive review, research of the domestic, we designed a questionnaire according to the investigation purpose, used simple random sampling and questionnaire survey method, through to involve different parameters which are different insurances, gender, household register, level of education, age and occupation and so on.Last,There were481residents to finish this questionnaire survey.It contain basic medical insurance popularity, the understanding of the basic knowledge of awareness, policy, security level and so on. Draw the conclusion:although the policy of primary medical insurance improving the residents’ability to pay and offering more health care services for people, the low awareness of residents for the basic medical insurance policy reduces the effect of the implementation of the basic medical insurance; Use of information security awareness is an effective way to achieve an appropriate level of health care needs of.Currently one of the goals is to establish a basic medical insurance system of universal health care can improve the health and medical needs of the residents.In order to achieve this goal, we need to enlarge the coverage of basic medical insurance, but also need more people really understand the connotation and epitaxial of medical insurance. Then as a micro main body of the residents can make reasonable decision for their demand and to make basic health insurance policy actually put in place, the overall effectiveness of play. Therefore, we suggest that in the macro level, the government in expanding coverage of urban and rural areas at the same time, further standardize the medical insurance policy information release, increase the propaganda, education, health care information transfer and sharing, etc, in order to reduce or eliminate health health care information barriers in the process of policy implementation. On microscopic,we propose the government can built dominant units or collectives system for training residents’ basic medical insurance knowledge by government regulation. |
