摘要
以新医改背景下医保、医疗、医药的联动改革为背景,利用结构方程模型对医疗服务满意度进行了实证分析.主要结论有:医疗机构在三医中起核心作用,分别反映就医软硬环境的就医感官要素和就医质量要素对医疗服务满意度都有正向直接的影响,通径系数依次为1.988和0.477,价格联动要素和医保制度要素对医疗服务满意度的总效应也为正值,依次为0.647和0.291.研究结果表明:要提升医疗服务满意度一要以医疗服务机构为中心,改善就医环境、提高医疗技术,二要三医联动改革,降低医疗服务费用和价格,三要完善医疗保险制度,提升医疗保险机构的管理效率.
Based on co-reform of medical care,drug industry and medical security,the medical service satisfaction conceptual model of structural equation model based on the data from the questionnaires is calculated.Main results are that medical institution is the key sector in co-reform,and scenic factor reflecting soft-environment and quality factor reflecting hard-environment all have positive direct effects,whose path coefficient respectively is 1.988 and 0.477;price factor and system factor＇ s total effect on medical service satisfaction also are positive,whose value in order is 0.647 and 0.291.The results indicate that to lift medical service satisfaction,the first step is to improve medical environment and medical treatment from medical institution,and the second step is to reduce medical service fee and price by virtue of co-reform of medical care,drug industry and medical security,while the third step is to amend medical insurance system and improve efficiency of medical insurance institution.
作者
王晓燕
杭丹
WANG Xiao-yan HANG Dan(Department of Foundation, Air force Logistics Academy, Xuzhou 221000, China)
出处
《数学的实践与认识》
北大核心
2016年第22期82-89,共8页
Mathematics in Practice and Theory
基金
国家社会科学基金(13BGL142)
关键词
新医改
医疗服务满意度
结构方程模型
health reform
medical service satisfaction
structural equation model
