| 引用本文：雷咸胜.中国居民医疗服务满意度研究——基于中国综合社会调查(CGSS)2015数据的实证分析[J].中国卫生政策研究,2019,12(3):1-7 |
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| 中国居民医疗服务满意度研究——基于中国综合社会调查(CGSS)2015数据的实证分析 |
| 投稿时间：2018-10-26 修订日期：2019-02-01 PDF全文浏览 HTML全文浏览 |
| 雷咸胜 |
| 中国人民大学公共管理学院 北京 100872 |
| 摘要:医疗服务满意度是我国医疗服务改革成效的直观表现。本文基于吉登斯的社会化结构理论，构建了评估医疗服务满意度的三维分析框架，包括个体维度、政策环境维度和医疗资源维度。利用中国综合社会调查（CGSS）2015年的调研数据，采用多项有序的Logit模型，分析三个维度对医疗服务满意度的影响。研究发现，农村居民对医疗服务的满意度高于城市居民；受教育程度越高，医疗服务满意度越低；社会地位越高，医疗服务满意度越高；居民认为医保政策越公平，对医疗服务满意度越高；基本医疗保险参保者比未参保者的满意度高；医疗资源越充足、分布越均衡和获取越便利，对医疗服务满意度就越高。年龄、性别、个人健康状况及是否参加商业医疗保险均未对医疗服务满意度产生统计学意义上的显著影响。因此，为了提高居民的医疗服务满意度，需要对完善多层次的医疗保障制度与加快医疗服务供给侧改革同时发力。 |
| 关键词:医疗服务 满意度 政策环境 医疗资源 |
| 基金项目:国家社会科学基金青年项目（18CSH060）；中国人民大学2018年度拨尖创新人才培育资助计划（201700300） |
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| Study on the satisfaction of Chinese residents' medical service: an empirical analysis based on CGSS (2015) data |
| LEI Xian-sheng |
| School of Public Administration and Policy, Renmin University of China, Beijing 100872, China |
| Abstract:Medical service satisfaction is a visual manifestation of the effectiveness of China's medical service reform. Based on Giddens' social structure theory, this paper constructs a three-dimensional analysis framework for assessing medical service satisfaction, including individual dimension, policy environment dimension, and medical resource dimension. Using the survey data of China Comprehensive Social Survey (CGSS) in 2015, a number of ordered logistics regression models areused to analyze the impact of the three dimensions on medical service satisfaction. The study found that:rural residents are more satisfied with medical services than urban residents; the higher the level of education, the lower the degree of satisfaction of residents with the medical services becomes; the higher the social status, the higher the degree of satisfaction with the medical services becomes;the more equal the health insurance policy is, the higher the degree of satisfaction with the medical services becomes, and the higher the degree of satisfaction of the enrolled residentsof the basic medical insurance than nonenrolled;the more adequate the medical resources are, the more balanced the distribution becomes, and the more convenient the access is, the higher the satisfaction of the medical services becomes. Other factors such as age, gender, personal health status and enrollmentin commercial medical insurances do not have a statistically significant effect on the medical servicesatisfaction. Therefore, in order to improve residents' satisfaction with the medical services, it is necessary to improve the multi-level medical security system and at the same time accelerate the supply-side reform of the medical services. |
| Key words:Medical services Satisfaction Policy environment Medical resources |
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