| 引用本文：陈诚, 郭锋, 麻磊, 刘素薇, 高红霞.我国三甲医院医务人员执业风险保险偏好研究——基于山东省9家医院的离散选择实验[J].中国卫生政策研究,2025,18(1):58-65 |
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| 我国三甲医院医务人员执业风险保险偏好研究——基于山东省9家医院的离散选择实验 |
| 投稿时间：2024-12-10 修订日期：2025-01-03 PDF全文浏览 HTML全文浏览 |
| 陈诚1,2, 郭锋3, 麻磊1,2, 刘素薇1,2, 高红霞1,2 |
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;
3. 国家卫生健康委卫生发展研究中心 北京 100044 |
| 摘要:目的： 探讨我国三甲医院医务人员执业风险保险偏好，为了解核心诉求与制定个性化保障方案提供参考依据。方法： 采用分层与便利抽样相结合的方式，对山东省9家三甲医院的187名医务人员进行问卷调查。采用混合Logit模型与联合效用方法对整体及临床/非临床亚组进行分析。结果： 整体分析中，混合Logit模型显示，赔付方式、投保平台、投保年限的不同，对医务人员进行保险属性偏好选择具有显著影响(P<0.05)，影响最大的是赔付方式(β=0.220)；联合效用显示，投保年限的相对重要性最大(39%)，保费金额相对重要性最小(4%)。亚组分析中，对于临床医师，赔付方式、投保年限的不同，保险属性偏好选择具有显著影响，影响最大的是赔付方式(β=0.277)，其次是投保年限。非临床医师中，保费与投保平台具有显著影响，影响最大的是保费金额。结论： 高效是医务人员选择保险偏好时共同考虑的核心因素，经济因素并非临床医师的核心考量；医师协会在保障执业风险中的影响与作用有待提高。建议后续出台相关险种时充分考虑执业范围的不同，进行针对性强化某些属性的需求，增强医师协会在保障执业风险中的影响力。 |
| 关键词:执业风险 偏好 三甲医院 离散选择实验 |
| 基金项目:国家卫生健康委卫生发展研究中心委托服务项目“我国医院医务人员执业风险与保障研究” |
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| Study on the preferences for practice risks insurance among medical staff in tertiary hospitals in China: A Discrete Choice Experiment based on 9 hospitals in Shandong Province |
| CHEN Cheng1,2, GUO Feng3, MA Lei1,2, LIU Su-wei1,2, GAO Hong-xia1,2 |
1. School of Medicine and Health Management, Tongji Medical College of Huazhong University of Science and Technology, Wuhan Hubei 430030, China;
2. Research Centre for Rural Health Service, Key Research Institute of Humanities and Social Sciences of Hubei Provincial Department of Education, Wuhan Hubei 430030, China;
3. China National Health Development Research Center, Beijing 100044, China |
| Abstract:Objective: To investigate the preferences for professional risks insurance among healthcare professionals in Chinese tertiary hospitals, providing a reference for understanding core demands and formulating personalized insurance plans. Methods: A questionnaire survey was conducted among 187 healthcare professionals from 9 tertiary hospitals in Shandong Province using acombination of stratified and convenience sampling. Mixed Logit models and the joint utility method were employed for analysis of the overall sample and clinical/non-clinical subgroups. Results: The mixed Logit model revealed that the type of compensation, insurance platform, and insurance duration significantly influenced the insurance attribute preferences of healthcare professionals (P<0.05), with the type of compensation having the greatest impact (β=0.220). The joint utility analysis indicated that insurance duration was of the highest relative importance (39%), while the premium amount was of the least importance (4%). In subgroup analysis, for clinical professionals, the type of compensation and insurance duration significantly influenced insurance attribute preferences, with the type of compensation having the greatest impact(β=0.277), followed by insurance duration. For non-clinical professionals, the premium amount and insurance platform were significant factors, with the premium amount being the most influential. Conclusion: Efficiency is a common core consideration for healthcare professionals when choosing insurance preferences, while economic factors are not central to the considerations of clinical professionals. The influence and role of medical associations in mitigating occupational risks need to be enhanced. It is suggested that future insurance products should fully consider the differences in the scope of practice, target certain attributes for enhancement, and strengthen the influence of medical associations in ensuring professional risks. |
| Key words:Professional risks Preference Tertiary hospitals Discrete Choice Experiment |
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