杭州市农民工医疗保障现况调查.pdfVIP

中华医院管理杂志 2006 年 11 月第 22 ~给第 11 期 Chln J Hosp A血nin， Nov 2006 ,Vo122 ,No. 11 • 775 • ·调查研究· 杭州市农民工医疗保障现况调查 任建萍都清~显文徐均 【摘黯】 目的 了解当前杭州市农民工参加医疗保险的状况，为建立健全农民工的医疗保障制度提供依 据。方法 采用问卷调查方式，对杭州市 930 位外来农民工就对医疗保险的认识、参加社会保险情况、未参加眩 疗保险的原因等内睿进行了调查和访谈。结果 有 44.1%的人认为医疗保险最重要;49.0% 的农民工来参加任 何保险，35.2%的农民工参加了养老保险，31. 6%的人参加了医疗保险。参保率低的原因有多种。结论 要加强 医疗保险政策宣传力度，积极推进社会保障立法，实现法制化管理。要适应农民工群体流动性、多样性的特点，实 行以大病统筹为主体的多恩次、多险种的医疗保障，实现参保方式的灵活转换。 E关键饲】 农民工$ 医疗保障$ 医疗保险; 调查 pre搅，nt sl阳血tlO11 invl刷刷tion 011 mediω1 insurance of migrant wor协商 in 日创IgZb侧 REN Jian-ping 钟 • GUO Q时饵，川 Xian-wen. et al. ‘ Sch∞l 01 Medicine and Health Management , Hangzhou Teachers 仇llege ， Hangzhou 310036 , China Corres户onding author: REN J ian-ρing ， Email: rjp9999@163.com [Abstract) ObJective To investigate the present situation of migrant workers participating in the medical insurance and provide evìdence for establishing a sound medical guarantee system for migrant workers. Methods By means of questionnaire survey , investigation and interview were performed on 930 migrant workers in Hang- zhou in regards to their understanding on the medical insurance , situation of participatíng ín social ínsurance , and reasons for not participating in medical insuranc巳 R创ults Totally , 44.1% of the migrant workers recognized the importance of medical insurance , 49.0% didnt participate in any insurance , 35.2% particìpated in old-age insur- ance , and 31. 6% participated in medical insurance. Reasons for the low participation rate were multiple. Conclu- 8i例切 We should enhance the propaganda of medical insurance policy , advance the social guarantee legislation actively , and realìze the legalized management. 丁o meet the features of fluidity and diversity of migrant workers population , we should practice multi-level , multi唰types of medical in