| 引用本文：郭丹丹, 苏宇, 管文博, 魏威, 熊巨洋.5岁以下儿童医保现状及其影响因素分析:以武汉市硚口区为例[J].中国卫生政策研究,2016,9(8):61-65 |
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| 5岁以下儿童医保现状及其影响因素分析:以武汉市硚口区为例 |
| 投稿时间：2015-12-29 修订日期：2016-05-09 PDF全文浏览 HTML全文浏览 |
| 郭丹丹1,2, 苏宇1,2, 管文博1,2, 魏威1,2, 熊巨洋1,21,2 |
1. 华中科技大学同济医学院医药卫生管理学院 湖北 武汉 430030;
2. 湖北省人文社科重点研究基地: 农村健康服务研究中心 湖北 武汉 430030 |
| 摘要:目的：研究武汉市5岁以下儿童医保覆盖情况及其影响因素。方法：分层随机抽取814名5岁以下儿童，利用结构式问卷法收集儿童人口学信息和参保情况。采用描述性分析、卡方检验、多因素Logistic回归法进行统计学分析。结果：武汉市硚口区5岁以下儿童医疗保险覆盖率为66.8%，其参保类型主要是城镇居民医疗保险（57.50%）、新农合（26.50%）及商业保险（24.70%）。儿童的年龄及儿童流动性与儿童是否参保相关（P<0.05），而儿童监护人不知道儿童可以参保、儿童户籍、错过参保时间及家庭经济困难是儿童未参保的主要原因。结论:武汉市5岁以下儿童医疗保险覆盖率较低，建议从制度层面消除城乡二元户籍制度，加大对医疗保险政策的宣传力度，帮助低收入家庭儿童参加医疗保险，以促进儿童医保全覆盖。 |
| 关键词:5岁以下儿童 医疗保险 影响因素 |
| 基金项目:华中科技大学自主创新研究基金重点专项（2014YGYL023） |
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| Analysis of medical insurance coverage and its influences on children under five years old: A case study of Wuhan City in Qiaokou |
| GUO Dan-dan1,2, SU Yu1,2, GUAN Wen-bo1,2, WEI Wei1,2, XIONG Ju-yang1,21,2 |
1. School of Medicine and Health Management, Tongji Medical College, HUST, Wuhan Hubei 430030, China;
2. Research Center for Rural Health Service, Key Research Institute of Humanities & Social Sciences of Hubei Provincial Department of Education, Wuhan Hubei 430030, China |
| Abstract:Objective: To explore health insurance coverage and its factors for children under five in Qiaokou, Wuhan City. Methods: 814 children under five were investigated under the stratified random sampling method. A structured questionnaire was used to collect information about children's demographic and insurance coverage. Descriptive analysis, chi-square test and multivariate logistic regression analysis were used for statistical analysis. Results: The health insurance coverage of children under 5 is 66.8% in Wuhan. The main types were Urban Residents' Basic Medical Insurance (57.5%), New Rural Cooperative Medical Insurance-IICA (26.5%) and Commercial Medical Insurance (24.7%). The child's age and mobility is related to children participating in or not in medical insurance (p<0.05). Guardians of children didn't know whether the child can be insured, Children's household registration, time to miss the insurance and family economic difficulties were associated with children's insurance coverage. Conclusions: The medical insurance coverage is low for the Wuhan children under five. Therefore, it is recommended to eliminate the urban and rural household registration system from the institutional level, vigorously increase the health insurance policy propaganda and help low-income children in order to promote to complete medical insurance coverage. |
| Key words:Children under 5 Health insurance Factors |
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