【摘要】 目的：基于威慑理论开发用于测量参保人对医保监管政策感知威慑力的工具并检验其信效度，为客观评价我国医保监管政策效力提供科学依据。方法：通过理论研究、文献分析、德尔菲专家咨询法形成测量工具初稿；采用分层方便抽样法选取110名上海市基本医保参保人进行测试，对调查数据进行分析和信效度检验。结果：经分析得到正式测量工具由感知严重性、感知确定性、感知敏捷性、主观规范4个维度共12个条目组成，方差累积贡献率为84.513%;各因子之间的相关系数在0.478～0.700之间(P<0.01),各因子与总得分之间的相关系数在0.699～0.830(P<0.01),测得的Cronbach’s α系数及折半信度均高于0.8。结论：本研究创新性地将威慑理论应用于医保监管领域研究，编制参保人感知威慑力测量工具，其信效度良好，可用于医保监管政策威慑力的测量，以期为提升医保监管效能提供助力。更多还原

【Abstract】 Objective To develop and test the reliability and validity of the tool for measuring the perceived deterrence of insured on basic medical insurance regulatory system based on deterrence theory, and provide a scientific basis for objectively evaluating the effectiveness of China’s medical insurance regulatory policies. Methods The first draft of the measurement tool was formed through theoretical research, literature analysis and Delphi method. 110 cases of basic medical insurance participants in Shanghai were selected for testing by hierarchical convenient sampling method. The survey data was analyzed, and its reliability and validity were tested. Results The formal measurement tool was composed of 12 items in four dimensions of perceived severity, perceived certainty, perceived celerity and subjective norm, and the cumulative contribution rate of variance was 84. 513%. The correlation coefficient of these factors was 0. 478 ～ 0. 700(P< 0. 01), the correlation coefficient among each factor and the total score was 0.699 ～ 0. 830(P< 0. 01). The measured Cronbach’s coefficients and the split-half reliability were all above 0. 8. Conclusion This study innovatively applied the deterrence theory to the research of medical insurance supervision, and compiled a measure of the perceived deterrence of the insured, which had a good reliability and validity, and can be used to measure the deterrence of medical insurance regulatory policy, in order to provide a boost to improve the effectiveness of medical insurance supervision.更多还原