本文選題：醫(yī)療保障 + 就醫(yī)行為��； 參考：《南京中醫(yī)藥大學(xué)》2014年碩士論文

【摘要】：伴隨著我國經(jīng)濟的不斷發(fā)展和新醫(yī)改的持續(xù)深入,我國的醫(yī)療保障體系建設(shè)取得了較快發(fā)展。蘇州市憑借其強大的經(jīng)濟實力和對醫(yī)療保障體系的不懈探索,于2012年率先實現(xiàn)了城鄉(xiāng)醫(yī)療保障一體化,理論上說來這一政策對于實現(xiàn)蘇州市城鄉(xiāng)居民就醫(yī)的可及性和公平性、提高對醫(yī)療服務(wù)總體的滿意度、促成三級醫(yī)療機構(gòu)患者就醫(yī)的合理分流、乃至推動整個江蘇省的城鄉(xiāng)醫(yī)療保障一體化進程都具有重大的借鑒意義。那么這一改革在實施兩年多來是否實現(xiàn)了上述預(yù)期的效果?是否對于江蘇省其他地區(qū)、乃至全國各個地區(qū)都具有借鑒意義?這些都有待于實際的調(diào)查與探討。 本研究主要以蘇州市城鄉(xiāng)醫(yī)療保障一體化為背景,以蘇州市吳江區(qū)的500名參保人為研究對象,采用問卷調(diào)查的方式,從個人基本信息、參保人對新政策的認知程度、參保人對新政策的滿意度、參保人的就醫(yī)行為及其忠誠度等多維度進行問卷的設(shè)計與調(diào)查,對問卷的分析和處理主要采用描述性統(tǒng)計、單因素分析和多元回歸方程等統(tǒng)計方法,以此了解城鄉(xiāng)醫(yī)療保障一體化之后蘇州市參保人對醫(yī)療服務(wù)滿意度及就醫(yī)行為的變化。 通過分析,我們發(fā)現(xiàn)蘇州市對衛(wèi)生資源的投資在逐年增加,滿足了更多參保人的衛(wèi)生需求,城鄉(xiāng)一體化的醫(yī)療保障制度實現(xiàn)了城鄉(xiāng)居民就醫(yī)的可及性與公平性,從整體上提高了參保人對醫(yī)療服務(wù)的滿意度,這些都充分驗證了城鄉(xiāng)醫(yī)療保障一體化政策的重大意義。但也存在著諸如尚未實現(xiàn)參保人就醫(yī)選擇的合理分流,城鄉(xiāng)一體化醫(yī)療保障政策的宣傳力度有待加強等問題。
[Abstract]:With the continuous development of economy and the deepening of new medical reform, the construction of medical security system has made rapid development. Suzhou, with its strong economic strength and unremitting exploration of the medical security system, took the lead in realizing the integration of urban and rural medical security in 2012. Theoretically, this policy has contributed to the realization of the accessibility and fairness of access to health care for Suzhou's urban and rural residents. It is of great significance to improve the overall satisfaction of medical services, to promote the rational diversion of patients in tertiary medical institutions, and even to promote the integration of urban and rural medical security in Jiangsu Province. So has this reform achieved the desired results over the past two years or so? Is it useful for other regions of Jiangsu Province, and even for all regions of the country? All these need to be investigated and discussed in practice. This study mainly takes the integration of urban and rural medical security in Suzhou as the background, takes 500 participants in Wu Jiang district of Suzhou as the research object, adopts the method of questionnaire, from the personal basic information, the insured's cognition to the new policy. The participants' satisfaction with the new policy, the medical behavior and loyalty of the insured are designed and investigated. The statistical methods of descriptive statistics, single factor analysis and multivariate regression equation are used to analyze and deal with the questionnaire. In order to understand the integration of urban and rural health care security after Suzhou City to the medical service satisfaction and behavior changes. Through analysis, we find that the investment in health resources in Suzhou is increasing year by year, which meets the health needs of more and more participants, and the integrated medical security system of urban and rural areas has realized the accessibility and fairness of access to health care for urban and rural residents. As a whole, it improves the satisfaction of the insured to the medical service, which fully verifies the significance of the integration policy of urban and rural medical security. However, there are still some problems, such as the reasonable diversion of the insured's choice of medical treatment, the propaganda of the urban-rural integrated medical security policy and so on.
【學(xué)位授予單位】：南京中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2014
【分類號】：F842.684;R197.1

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