江苏盐城患者对新医改感知情况调查分析
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南京医科大学医政学院 江苏 南京 210029

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2014年度国家社会科学《医药卫生体制改革中多方主体沟通平台的建构研究》14BSH114


Investigation and Analysis on the perception of new health care reform in Yancheng, Jiangsu
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School of Health Policy & Management, Nanjing Medical University

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    摘要:

    目的:研究江苏盐城患者对新医改现状的感知情况,评价新医改在盐城市的实施效果,发现存在问题并提出相应的解决措施。方法:自行设计问卷,调查江苏盐城地区五家医院门诊患者,运用描述性分析和卡方检验辅助分析研究结果。结果:48.3%的患者认为医疗保障是近两年医改中做的最有成效的方面;45.9%的患者认为现行的医保报销比例小;不同文化程度的患者对多点执业的效果评价有统计学意义;认为实施分级诊疗影响较大和没什么影响的患者基本持平。结论:盐城市患者对新医改政策实施情况的总体感知度较高。新医改仍需完善基层医疗卫生体系建设;畅通信息传递渠道;探索建立稳定人才机制;限制医院规模过大;加强药品监管。

    Abstract:

    Objective:To investigate patients’ perception of new health care reform in Yancheng, Jiangsu, to evaluate the effect of new medical reform in Yancheng City,find the existing problems and propose specific suggestions. Methods:A self-designed questionnaire was employed to investigate patients’ perspective in five hospitals. The descriptive analysis and chi-square test were computed to assess the results. Results:48.3% of patients believe that health care is the most effective aspect of health care reform in the past two years; 45.9% of patients believe that the current medicare proportion of compensation is too low; The effect of different cultural degree of patients on multi point practice was statistically significant; Patients think the implementation of grading clinics have a larger impact and no impact on the patient basically flat. Conclusion:Yancheng patients’overall awareness level on the implementation of the new medical reform policy is higher.The new health care reform still needs to improve the basic level of medical and health system construction such as smooth channels of information and explore the establishment of stable talent mechanism and limit the size of hospitals and strengthen drug supervision.

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  • 收稿日期:2016-09-08
  • 最后修改日期:2016-09-29
  • 录用日期:2017-04-13
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