参保患者对分级诊疗政策的认知情况调研分析

【摘要】 目的:了解患者对分级诊疗的认知和需求情况,为医保制定激励和约束政策提供参考。方法:通过问卷调查,使用EXCEL2007统计分析。结果:调查显示86.6%的人患病后选择在县或市级医院就医,68%的人几乎不了解医保报销政策,67%的人更相信大医院的医疗技术水平,44%的人担心转诊会导致检查重做,25%的人认为转诊手续麻烦,86%的人对分级诊疗不太了解,但了解后82%的人认为有必要实行分级诊疗。不符合转诊条件费用不予报销时,仍然会直接去上级院就诊占43.2%;对于各级医疗机构之间报销比例的差距以5%最适宜。结论:参保者对分级诊疗政策持欢迎态度,但政策知晓度差,而政策制定者在政策宣传方面传缺位;调整住院费用起付线及报销比例的差距,利用医保经济杠杆的调节作用有限,参保者就医习惯、医疗技术水平是影响分级医疗的关键。更多还原

【Abstract】 Objective: to explore the cognitive rate and need by the patients according to tiered diagnosis and treatment work,aiming to provide some advice to improve incentive and restraint mechanism for Medical Insurance System. Methods:Through the form of questionnaire; analysed by EXCELL2007. Results: the results show that 86.6% of patients choose in county or city hospital; 68% of people hardly understand reimbursement policies;67% of people believe that more big hospital medical technology level; 44% of people worried about referral leads to redo examination, 25% of people think that referral trouble, 86% of people have no idea about tiered diagnosis and treatment, but after understanding, 82% of people think it necessary;for the gap of reimbursement ratio between medical institutions at all levels to 5% the most appropriate.Conclusion: the patients welcomed in tiered diagnosis and treatment,the survey on health care policy has certain reference function.更多还原