1.School of Public Health, Anhui Medical University;2.School of Health Services Management, Anhui Medical University
National health and family planning commission health development research center"Investigation on the current situation of combining medical care with home care in Anhui province"
目的 探索安庆市长期护理保险的满意度及其影响因素,为安庆市长期护理保险制度的发展及扩面工作提供参考依据。方法 采用分层随机抽样的方法抽取安庆市市区参加长期护理保险的参保人400名,在文献复习和专家咨询的基础上自行设计问卷并收集资料,采用单因素分析和多因素分析探讨参保人的满意度及其影响因素。结果 总体满意度为86.16%,单因素分析发现,性别等8个人口学特征因素和政策知晓情况等6个因素影响总体满意度,差异有统计学意义(P<0.05)；多因素分析发现,性别、婚姻状况、身体状况、是否知晓长护险、照护支出是否成为生活重担和护理服务的地位等6个因素为参保人总体满意度的影响因素(P<0.05)。结论 安庆市长期护理保险满意度有待提高,需要有关部门做好政策宣传和健康教育工作,继续推进针对失能等弱势群体的制度保障,提高参保人的政策获得感和满意度。
Objective To explore the satisfaction of long-term care insurance in anqing city and its influencing factors, and to provide it reference for the development and expansion in anqing city. Methods Four hundred participants in long-term care insurance in anqing city were selected in this study by stratified random sampling. Based on literature review and expert consultation, questionnaires were designed and data were collected. Univariate analysis and multivariate analysis were used to explore the satisfaction degree and its influencing factors. Results The overall satisfaction was 86.16%. Univariate analysis showed that 8 demographic characteristics, including gender, etc., and 6 factors, including policy awareness, etc., affected the overall satisfaction (P<0.05). The multivariate analysis showed that gender, marital status, physical condition, cognition of long-term care insurance, burden of care expenditure and status of nursing services were associated with the overall satisfaction (P<0.05). Conclusion the satisfaction of long-term care insurance in anqing city needs to be improved, and the relevant departments need to take efforts in policy publicity and health education, continue to promote the system protection for disabled groups and other vulnerable groups, and improve the policy sense and satisfaction of insured people.