南京市基本医疗保险参保职工满意度多水平模型分析.pdf

The Analysis of Multilevel Model to the Insured Satisfaction of Basic Medical Insurance in Nanlingv — School of Public Health，Southeast University,Nanjing LI Dong—yan LIU Pei ZHANG Xiao Abstract Objective：On the basis ofa comprehensive study and questionnaire survey,Constructing satisfaction evaluation index system and analyzing the insured’S satisfaction ofsocial medical insurance with multi-level model in Nanjing．To discover people’S evaluation end the key influence factors ofcorrent medical insurance system，and to propose the solutions strategies，SO that could be used in decision-making for the future ofthe social security system-building and sustainable development．At the same time,explore the application ofmulti·level model in the analysis ofsaitisfaction data witll hiereehical structure． Methods：Through the way ofstratified random sampling，chose 1250 to finish the saitisfaction questionnaire surveyofinsured ofbasicmedicalinsurence from 10 representativecompaniesinNanjing (including state-owned enterprises，foreign-fonded enterprises and private enterprises)．First established satisfaction evaluation index system，end figure out the comprehensive satisfaction score through factor analysis，then apply univariate analysis，generalized linear regression models，and multi-level models to analyze the insured’s satisfaction evaluation and the key influence factors．At last demonstrate the advantages ofmulti—level model in analyzing data with hierechical structure by comparing with generalized 1inenr regression modeIs． Results：Extracte four factors from 1 1 satisfaction measurement indicators through factor analysis，then weighted by the overall and aggregate for the satisfaction score is 2．72．Personal factors that impact the insured satisfaction of the basic medical insurance including．age,whether or not have other medical insurennoe,income levels．health status and convenience of medical treatment；enterprises factors are enterprises types and effect of enterprises propaganda