| 引用本文: |
刘剑,康正,石淇,等.公众医保关心及参与医保基金监管意愿:政府信任的调节作用*[J].中国卫生经济,2023,42(6):22-25.[点击复制] |
LIU Jian,KANG Zheng,SHI Qi,et al.Public Medical Insurance Concerns and Willingness to Participate in Health Care Fund Regulation: the Moderating Role of government Trust[J].CHINESE HEALTH ECONOMICS,2023,42(6):22-25.[点击复制] |
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| 摘要: |
| 目的：分析公众医保关心对参与医保基金监管意愿的影响以及政府信任在二者之间的调节效应。方法：在2022 年2月~3月间对全国居民进行调查，共纳入634名研究对象。利用二元Logistic回归探究政府信任在公众医保关心及参与医保基金监管间的调节作用。结果：对医保关心及参与医保基金监管意愿呈现正相关(P＜0.001)。政府信任负向调节二者之间的关系(β=-0.362，P＜0.05)。结论：公众医保关心对参与医保基金监管意愿存在显著正效应；政府信任对医保关心-公众参与医保基金监管意愿之间的关系存在负向调节作用。因此，提升公众对医保的关心，有助于提高公众对参与医保基金监管的意愿。 |
| 关键词: 公众 医保关心 医保基金监管意愿 政府信任 |
| DOI： |
| 投稿时间：2023-03-28 |
| 基金项目:国家自然科学基金面上项目(72074064)；国家自然科学基金面上项目(71573068)；中国博士后科学基金面上项目“(2019M650068)；中国博士后科学基金特别资助项目(2018T110319)；国家社会科学基金重点项目(19AZD013) |
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| Public Medical Insurance Concerns and Willingness to Participate in Health Care Fund Regulation: the Moderating Role of government Trust |
| LIU Jian,KANG Zheng,SHI Qi,XU Jin-peng,ZHANG Ting,ZHANG Hong-yu,WU Qun-hong,TIAN Guo-mei |
| (Department of Social Medicine,School of Health Administration,Harbin Medical University,Harbin 150081 ,China) |
| Abstract: |
| Objective: To analyze the effects of public medical insurance concern on the willingness to participate in medical insurance fund regulation and the moderating effect of government trust. Methods: A national survey of residents was conducted from February 2022 and March 2022，and a total of 634 study participants were included. A binary logistic regression was used to investigate the moderating effect of government trust between public medical insurance concern and participation in health care fund regulation. Results: Concern for medical insurance was positively associated with willingness to participate in medical insurance fund regulation (P＜0.001). Government trust negatively moderated the relationship between the two (β=-0.362，P＜0.05). Conclusion: There is a significant positive effect of public concern for medical insurance on willingness to participate in medical insurance fund regulation; the relationship between government trust in medical insurance concern and public willingness to participate in medical insurance fund regulation is negatively moderated. Therefore，enhancing public concern for health insurance can help increase public willingness to participate in medical insurance fund regulation. |
| Key words: the public medical insurance concern medical insurance fund willingness to regulate government trust |
