目的了解影响沈阳市大学生就诊选择的主要因素,分析现行大学生城镇居民医疗保险满意度水平中感知质量和顾客满意情况,为医疗保险制度改革提供理论依据。方法对沈阳市大学生在校园中进行拦截式问卷调查,对获得数据结果进行多项式Logistic回归分析,找出影响沈阳市大学生就诊选择、感知质量和顾客满意的主要因素。结果就诊便利、医疗设备、医疗技术和对症疗效是大学生就诊选择、感知质量和顾客满意的共同影响因素,感知质量也受到服务态度和费用报销比例的影响,服务态度、期望一致和对比优势也是影响顾客满意的关键。大学生群体对自身公共医疗服务的期望偏低,对享有的公共医疗服务不满意。结论大学生对公共医疗保险制度整体满意度水平较低。建议重点改革小病险,将大病险与商业保险相结合,并加强医疗保险宣传力度。 Objective To understand the main factors influencing the choice of university students in Shenyang and to analyze the perceived quality and customer satisfaction in the current college students’ level of satisfaction with medical insurance, so as to provide a theoretical basis for the reform of the medical insurance system. Methods Shenyang college students intercepted questionnaires in the campus, the data obtained by the results of the polynomial Logistic regression analysis to identify the Shenyang college students seeking treatment, perceived quality and customer satisfaction of the main factors. Results The convenience of visiting, medical equipment, medical technology and symptomatic curative effect were the common influencing factors of university students’ choice of clinic, perceived quality and customer satisfaction. The perceived quality was also affected by the proportion of service attitude and expense reimbursement. The service attitude, expectancy and comparative advantage also influenced The key to customer satisfaction. College students have low expectations of their own public health services and are not satisfied with their access to public health services. Conclusion College students have a low level of overall satisfaction with the public medical insurance system. It is suggested that we should focus on the reform of minor risks, combine major risks with commercial insurance, and strengthen the publicity efforts on medical insurance.