参保人对城镇职工医保个人账户的使用、认知、需求及其影响因素分析——以贵州省为例
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摘要
目的:分析参保人对城镇职工基本医疗保险个人账户的了解、使用现状,探讨其需求情况,为贵州省及其他地区职工医保个人账户改革提供参考。方法:选取贵州省各单位职工医保参保人为调查对象,通过分发调查问卷收集数据,采用逐步logistic回归分析影响职工对个人账户了解、使用及需求的影响因素。结果:共发放问卷635份,回收有效问卷538份(84.72%)。一半以上的受访者尚未激活医保卡或很少(从未)使用,约15%的受访者曾使用医保卡购买过非医疗产品或将医保卡外借。大多数受访者对个人账户相关政策并不了解。受访者偏好个人账户划入资金同时与工资水平和年龄挂钩或与年龄挂钩,且最想在现有基础上利用个人账户提高自身或家人的医疗保障水平。受访者个人特征、行为习惯、健康状况等均在一定程度影响其对个人账户的使用、了解及需求。结论:医保个人账户使用效率不高,受访者对相关医保政策不了解。个人账户的改革应增强其公平性以及提高自身医疗保障水平功能,还应考虑将保障范围扩大到参保人的配偶或家属。
Objective To analyze the insured's use,cognition and demand of personal account of urban employees' basic medical insurance( UEBMI),and provide references for reform on it. Methods The insured staffs of UEBMI were sampled and surveyed with questionnaires. Data was analyzed with stepwise logistic model. Results For the 538 valid cases,more than half of them rarely used the accounts. And about 15% of them used the fund of the account to buy non-medical products or lent it to other people. Meanwhile,most of the respondents knew very limited information about the policy of URBMI. The respondents prefer to the funds in the account changing with income and age,specifically improving healthcare services for them or their families with the money in the account. The factors of personalities,behaviors and health status can influence the use,cognition and demand of personal account. Conclusion The utilization efficiency of personal account and awareness on policy of medical insurance needs to be improved. Reform on personal account should focus on improving its fairness and coverage.
Objective To analyze the insured's use,cognition and demand of personal account of urban employees' basic medical insurance( UEBMI),and provide references for reform on it. Methods The insured staffs of UEBMI were sampled and surveyed with questionnaires. Data was analyzed with stepwise logistic model. Results For the 538 valid cases,more than half of them rarely used the accounts. And about 15% of them used the fund of the account to buy non-medical products or lent it to other people. Meanwhile,most of the respondents knew very limited information about the policy of URBMI. The respondents prefer to the funds in the account changing with income and age,specifically improving healthcare services for them or their families with the money in the account. The factors of personalities,behaviors and health status can influence the use,cognition and demand of personal account. Conclusion The utilization efficiency of personal account and awareness on policy of medical insurance needs to be improved. Reform on personal account should focus on improving its fairness and coverage.
引文
[1]徐伟,曹晶晶.职工医保与居民医保参保人群医疗需求差异分析[J].中国卫生事业管理,2014,31(7):510-513.
[2]王晓蕊,王红漫.辽宁省基本社会医疗保险满意度因子分析——基于2011-2015年辽宁省调查[J].中国卫生事业管理,2016,33(7):508-511.
[3]杨政怡.医疗保险个人账户发展路径研究[J].卫生经济研究,2015,(11):45-47.
[4]罗哲,魏兴莓.论我国现阶段医疗保险个人账户存在的必要性[J].中国药房,2007,18(7):492-494.
[5]刘国恩,董朝晖,孟庆勋,等.医疗保险个人账户的功能和影响[J].中国卫生经济,2006,25(2):61-64.
[6]王东进.关于职工医保的个人账户问题[J].中国医疗保险,2015,(9):5-8.
[7]曹燕.城镇职工基本医疗保险个人账户套现的经济福利损失[J].中国卫生经济,2010,29(3):40-42.
[8]林枫,朱梦璐,吴宝林.再谈医疗保险个人账户[J].中国卫生经济,2016,35(2):26-28.
[9]张海洋,沈勤.城镇职工医疗保险个人账户存废问题探讨[J].社会保障研究,2015,(2):42-47.
[10]金维刚.理性认识个人账户及其发展趋势[J].中国医疗保险,2015,(9):19-20.
[11]王丽娟.个人账户或能用于老年护理等[J].中国社会保障,2016,(1):81.
[12]朱坤,穆辰,张小娟,等.城镇职工医保个人账户改革效果分析—以江苏省A市为例[J].卫生经济研究,2016,(2):5-8.
[13]彭颖,张敏,何江江,等.完善城镇职工医疗保险个人账户功能的探索与思考[J].中国卫生资源,2017,20(1):19-23.
[14]向宗平,霍冀民.削减个人账户扩大保障力度——职工医保基金结构改革研究[J].中国社会保障,2016,(4):44-45.
[15]朱虹,刘兰茹,宋安琪,等.全面医保新常态发展形势下的医保制度公平性研究[J].中国卫生事业管理,2016,33(7):512-514,534.
[2]王晓蕊,王红漫.辽宁省基本社会医疗保险满意度因子分析——基于2011-2015年辽宁省调查[J].中国卫生事业管理,2016,33(7):508-511.
[3]杨政怡.医疗保险个人账户发展路径研究[J].卫生经济研究,2015,(11):45-47.
[4]罗哲,魏兴莓.论我国现阶段医疗保险个人账户存在的必要性[J].中国药房,2007,18(7):492-494.
[5]刘国恩,董朝晖,孟庆勋,等.医疗保险个人账户的功能和影响[J].中国卫生经济,2006,25(2):61-64.
[6]王东进.关于职工医保的个人账户问题[J].中国医疗保险,2015,(9):5-8.
[7]曹燕.城镇职工基本医疗保险个人账户套现的经济福利损失[J].中国卫生经济,2010,29(3):40-42.
[8]林枫,朱梦璐,吴宝林.再谈医疗保险个人账户[J].中国卫生经济,2016,35(2):26-28.
[9]张海洋,沈勤.城镇职工医疗保险个人账户存废问题探讨[J].社会保障研究,2015,(2):42-47.
[10]金维刚.理性认识个人账户及其发展趋势[J].中国医疗保险,2015,(9):19-20.
[11]王丽娟.个人账户或能用于老年护理等[J].中国社会保障,2016,(1):81.
[12]朱坤,穆辰,张小娟,等.城镇职工医保个人账户改革效果分析—以江苏省A市为例[J].卫生经济研究,2016,(2):5-8.
[13]彭颖,张敏,何江江,等.完善城镇职工医疗保险个人账户功能的探索与思考[J].中国卫生资源,2017,20(1):19-23.
[14]向宗平,霍冀民.削减个人账户扩大保障力度——职工医保基金结构改革研究[J].中国社会保障,2016,(4):44-45.
[15]朱虹,刘兰茹,宋安琪,等.全面医保新常态发展形势下的医保制度公平性研究[J].中国卫生事业管理,2016,33(7):512-514,534.