西藏城鎮(zhèn)居民醫(yī)療保險滿意度研究

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目錄
第1章 緒論 1
1.1 研究背景 1
1.2 研究目的和意義 1
1.2.1研究目的 1
1.2.2研究意義 2
1.3 國內(nèi)外研究綜述 2
1.3.1國外研究綜述 2
1.3.2國內(nèi)研究綜 3
第2章 基本概念及相關(guān)理論 5
2.1相關(guān)基本概念 5
2.1.1醫(yī)療保險 5
2.1.2城鎮(zhèn)居民基本醫(yī)療保險 5
2.1.3滿意度 6
2.2 相關(guān)理論 6
2.2.1社會保障理論 6
2.2.2公共產(chǎn)品理論 6
2.2.3顧客滿意度理論 7
第3章 西藏城鎮(zhèn)居民基本醫(yī)療保險的滿意度調(diào)查分析 7
3.1 西藏城鎮(zhèn)居民醫(yī)療保險滿意度調(diào)查 7
3.1.1問卷設(shè)計的理論依據(jù) 8
3.1.2調(diào)查的總體規(guī)劃 8
3.2 西藏居民的滿意度分析 8
3.2.1對籌資機制的滿意度 8
3.2.2對醫(yī)療機構(gòu)的服務(wù)水平的滿意度 9
3.2.3對待遇水平額滿意度 10
3.2.4政策宣傳工作 12
3.2.5參保意愿 13
3.2.6 小結(jié) 13
第4章 關(guān)于提高城鎮(zhèn)居民基本醫(yī)療保險滿意度的對策建議 14
4.1 完善城鎮(zhèn)居民基本醫(yī)療保險基金籌集機制 14
4.1.1分類分層確定繳費標(biāo)準(zhǔn) 14
4.1.2繼續(xù)加大政府資金投入力度 14
4.1.3擴寬資金籌集來源 14
4.2在基金平穩(wěn)運行的基礎(chǔ)上逐步提高醫(yī)保待遇水平 15
4.2.1加強對基金的監(jiān)督管理 15
4.2.2提高醫(yī)保待遇水平 16
4.3 提高各方主體相關(guān)意識 16
4.3.1強化政府責(zé)任意識 16
4.3.2提高居民參保認(rèn)識 17
4.3.3強化社會關(guān)注意識 17
4.5 加強對城鎮(zhèn)居民基本醫(yī)療保險服務(wù)機構(gòu)的監(jiān)督和管理 17
4.5.1加強對定點醫(yī)療機構(gòu)的監(jiān)管 17
4.5.2加強醫(yī)療保險經(jīng)辦機構(gòu)能力建設(shè) 18
4.6為城鎮(zhèn)居民基本醫(yī)療保險制度提供法律保障 19
結(jié) 論 19
致 謝 20
參考文獻: 21


摘要 隨著經(jīng)濟的發(fā)展和社會的全面進步，人們的生活水平不斷提高，保健意識也不斷增強，用于醫(yī)療的費用也在不斷快速增長。而大量的城鎮(zhèn)非從業(yè)居民、少年兒童、殘疾人、沒有養(yǎng)老金收入的老人作為一群弱勢群體，長期以來沒有醫(yī)療保障制度安排，他們中的相當(dāng)一部分人用于醫(yī)療方面的開支非常少，一旦有了大病，其醫(yī)療費用要完全由個人和家庭來負(fù)擔(dān)，“因病致貧，因病返貧”的現(xiàn)象屢屢發(fā)生。于是，中央在 2007 年以試點的形式開啟了城鎮(zhèn)居民基本醫(yī)療保險建立之路，并逐漸推進到全國，截至目前，新制度已初見成效，覆蓋了大部分應(yīng)參保人群。我國自制度實施以來取得了巨大的成績，但同時也暴露出很多的問題，值得我們探討。
本文是以西藏城鎮(zhèn)居民為研究對象，主要以社會保障理論及其相關(guān)理論為依據(jù),采用理論分析與實證分析相結(jié)合的方法，通過實證研究，主要從籌資機制、醫(yī)療機構(gòu)服務(wù)水平、待遇水平、宣傳力度和參保意愿五個方面，對保參人員進行問卷調(diào)查，最終結(jié)果顯示各項滿意度的指標(biāo)都呈居中分布的趨勢，說明城鎮(zhèn)居民對當(dāng)前城居醫(yī)保的滿意度一般，尤其是在政策規(guī)定的待遇水平和醫(yī)院的醫(yī)療服務(wù)水平上。深入整理分析后，筆者發(fā)現(xiàn)滿意度的高低與居民的年齡、收入等因素相關(guān)，這是部分居民滿意度不高的主觀原因。而客觀原因，自然是現(xiàn)行制度的缺陷和制度運行中出現(xiàn)的種種弊端所致。最后在分析影響滿意度的因素的基礎(chǔ)上，提出對完善基金籌集機制、提高醫(yī)保待遇水平、加強服務(wù)機構(gòu)的監(jiān)督和管理等方面 提出了對策建議。
關(guān)鍵詞：醫(yī)療保險 城鎮(zhèn)居民醫(yī)療保險 滿意度


Medical insurance for urban residents in Tibet Satisfaction Study
Abstract The medical insurance is the social security system＇s important constituent, when the citizen is sick, enjoys the medical insurance treatment according to the stipulation which provides by the country is their basic right, any citizens cannot be deprive. After the reform and open policy, our country establishes the cities staff medical insurance system which combines social pool and personal accounts, is the first step of medical service system reform, however this system has only solved active staffs＇disease risk, massive unemployment people , the youth, the disabilities and the old people who without pension income, are removed outside the medical safeguard system. So the system is unbalanced seriously, the lame system brings a consequence, that is the entire medical system lacking efficiency. Taking into account the circumstances of China, firstly establishes the cities staff medical insurance system which combines social pool and personal accounts, and then establishes another system to achieve protection for unemployment people in cities and towns, is an optional path. So central government established Basic medical insurance for urban residents system in 2007 in some cities, and gradually advanced to national, now the new system has made some progress, covering most of the insured population.
This article is for the study of urban residents in Tibet, mainly in the social security theory and related theory, the theoretical and empirical analysis using a combination of methods, through empirical research, the main funding mechanism, medical institutions, service levels, from the level of treatment, propaganda and the wishes of the insured five aspects of security personnel conducted a questionnaire survey participation, the final results of the satisfaction index trends in the distribution center were tested, indicating satisfaction with the current urban city home health care in general, especially in medical service level policies and regulations on treatment and hospital level. The objective reasons, naturally system defects and drawbacks of the current system appears to run in the year. Finally, t..