文章摘要
龚楚红,王锦帆.江苏盐城患者对新医改感知情况调查分析[J].南京医科大学学报(社会科学版),2017,(2):129~133
江苏盐城患者对新医改感知情况调查分析
Investigation and analysis on the perception of new health care reform in Yancheng,Jiangsu
投稿时间:2016-09-08  
DOI:10.7655/NYDXBSS20170211
中文关键词: 新医改  患者感知  调查
英文关键词: new health care reform  patients’ perception  investigation
基金项目:国家社会科学基金项目“医药卫生体制改革中多方主体沟通平台的建构研究”(14BSH114)
作者单位
龚楚红 南京医科大学医政学院江苏 南京 211166 
王锦帆 南京医科大学医政学院江苏 南京 211166 
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中文摘要:
      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,发现存在的问题并提出相应解决措施。方法:自行设计问卷,调查江苏盐城地区5家医院门诊患者,对调查结果进行分析。结果:48.3%的患者认为医疗保障是近两年医改中做得最有成效的方面;45.9%的患者认为现行的医保报销比例低;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,探索建立稳定人才的机制,限制医院规模过大,加强药品监管。
英文摘要:
      Objective:To investigate patients’ perception of new health care reform in Yancheng,Jiangsu,to evaluate the implementation effect of new medical reform in Yancheng City,and to find the existing problems and propose specific suggestions. Methods:A self-designed questionnaire was employed to investigate outpatients’ perspective in five hospitals. The descriptive analysis and chi-square test were computed to assess the results. Results:A total of 48. 3% of patients believed that medical care assurance was the most effective aspect of health care reform in the past two years,and 45. 9% of patients believed that the current medicare reimbursement was too low. The evaluation of patients with different cultural degree on multi-sited license was statistically significant. Almost equal number of patients thought that the implementation of grading clinics had a larger impact or had no impact. Conclusion:The overall perception level of patients from Yancheng 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,explore a stable talent mechanism,limit the size of hospitals,and strengthen drug supervision.
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