西藏城鎮(zhèn)居民醫(yī)療保險(xiǎn)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(guó)內(nèi)外研究綜述 2
1.3.1國(guó)外研究綜述 2
1.3.2國(guó)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(xiǎn) 5
2.1.2城鎮(zhèn)居民基本醫(yī)療保險(xiǎn) 5
2.1.3滿意度 6
2.2 相關(guān)理論 6
2.2.1社會(huì)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(xiǎn)的滿意度調(diào)查分析 7
3.1 西藏城鎮(zhèn)居民醫(yī)療保險(xiǎn)滿意度調(diào)查 7
3.1.1問(wèn)卷設(shè)計(jì)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(duì)籌資機(jī)制的滿意度 8
3.2.2對(duì)醫(yī)療機(jī)構(gòu)的服務(wù)水平的滿意度 9
3.2.3對(duì)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(xiǎn)滿意度的對(duì)策建議 14
4.1 完善城鎮(zhèn)居民基本醫(yī)療保險(xiǎn)基金籌集機(jī)制 14
4.1.1分類(lèi)分層確定繳費(fèi)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(kuò)寬資金籌集來(lái)源 14
4.2在基金平穩(wěn)運(yùn)行的基礎(chǔ)上逐步提高醫(yī)保待遇水平 15
4.2.1加強(qiáng)對(duì)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(shí) 16
4.3.1強(qiáng)化政府責(zé)任意識(shí) 16
4.3.2提高居民參保認(rèn)識(shí) 17
4.3.3強(qiáng)化社會(huì)關(guān)注意識(shí) 17
4.5 加強(qiáng)對(duì)城鎮(zhèn)居民基本醫(yī)療保險(xiǎn)服務(wù)機(jī)構(gòu)的監(jiān)督和管理 17
4.5.1加強(qiáng)對(duì)定點(diǎn)醫(yī)療機(jī)構(gòu)的監(jiān)管 17
4.5.2加強(qiáng)醫(yī)療保險(xiǎn)經(jīng)辦機(jī)構(gòu)能力建設(shè) 18
4.6為城鎮(zhèn)居民基本醫(yī)療保險(xiǎn)制度提供法律保障 19
結(jié) 論 19
致 謝 20
參考文獻(xiàn): 21


摘要 隨著經(jīng)濟(jì)的發(fā)展和社會(huì)的全面進(jìn)步，人們的生活水平不斷提高，保健意識(shí)也不斷增強(qiáng)，用于醫(yī)療的費(fèi)用也在不斷快速增長(zhǎng)。而大量的城鎮(zhèn)非從業(yè)居民、少年兒童、殘疾人、沒(méi)有養(yǎng)老金收入的老人作為一群弱勢(shì)群體，長(zhǎng)期以來(lái)沒(méi)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(kāi)支非常少，一旦有了大病，其醫(yī)療費(fèi)用要完全由個(gè)人和家庭來(lái)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(diǎn)的形式開(kāi)啟了城鎮(zhèn)居民基本醫(yī)療保險(xiǎn)建立之路，并逐漸推進(jìn)到全國(guó)，截至目前，新制度已初見(jiàn)成效，覆蓋了大部分應(yīng)參保人群。我國(guó)自制度實(shí)施以來(lái)取得了巨大的成績(jī)，但同時(shí)也暴露出很多的問(wèn)題，值得我們探討。
本文是以西藏城鎮(zhèn)居民為研究對(duì)象，主要以社會(huì)保障理論及其相關(guān)理論為依據(jù),采用理論分析與實(shí)證分析相結(jié)合的方法，通過(guò)實(shí)證研究，主要從籌資機(jī)制、醫(yī)療機(jī)構(gòu)服務(wù)水平、待遇水平、宣傳力度和參保意愿五個(gè)方面，對(duì)保參人員進(jìn)行問(wèn)卷調(diào)查，最終結(jié)果顯示各項(xiàng)滿意度的指標(biāo)都呈居中分布的趨勢(shì)，說(shuō)明城鎮(zhèn)居民對(duì)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(yùn)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(duì)完善基金籌集機(jī)制、提高醫(yī)保待遇水平、加強(qiáng)服務(wù)機(jī)構(gòu)的監(jiān)督和管理等方面 提出了對(duì)策建議。
關(guān)鍵詞：醫(yī)療保險(xiǎn) 城鎮(zhèn)居民醫(yī)療保險(xiǎn) 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..