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目的:用因子分析探讨黑龙江省医保制度设计存在的问题及影响因素,提出相应的政策建议。方法:通过文献分析建立调查问卷并展开调查,使用SPSS软件进行因子分析。结果:因子分析筛选出的4个公因子揭示了困扰医保制度设计的关键问题之所在,包括公平性因子、管理失效因子、参保方式因子以及制度衔接因子。结论:医保改革应重点围绕医保制度设计中的突出问题,完善相关制度设计;加快对医保现行管理体系、监管与评价的改革设计;此外,还应高度关注医疗保障与医疗两大体系的有机衔接、完善个人参保方式等多个领域的系统设计改革来实现全民医保的政策目标。
OBJECTIVE: To explore the existing problems and influencing factors of health insurance system design in Heilongjiang Province by factor analysis and put forward the corresponding policy recommendations. Methods: Through the literature analysis, the questionnaire was established and investigated. SPSS software was used to carry out factor analysis. Results: The four common factors screened by factor analysis revealed the key problems that plagued the design of medical insurance system, including the fairness factor, the management failure factor, the insured factor and the system convergence factor. Conclusion: The medical insurance reform should focus on the outstanding problems in the design of the medical insurance system, improve the design of related systems, accelerate the reform of the current management system, supervision and evaluation of medical insurance, and pay close attention to the organic connection between the two systems of medical insurance and medical care , Improve personal insurance and other areas of system design and reform in order to achieve universal health insurance policy objectives.