关键词: 单因素模型,有序Probit模型,制度特征,医疗服务满意度

Abstract: Based on the field survey data of 22 cities (counties) of 13 provinces and municipalities, this paper applies the single-factor model and the ordered Probit model to conduct an empirical analysis of the factors affecting the medical service satisfaction from the perspective of individual characteristics and institutional characteristics and to list the affecting factors in the order of importance. The results show that from the point of individual characteristics, the monthly income, age and type of hospitals visited frequently have a significant effect on the satisfaction with medical services, while low-income, advanced age and primary care patients have a lower satisfaction; from the point of institutional characteristics, the system integration of medical insurance and the payment by type of disease can bring higher medical service satisfaction to patients; in addition, under the circumstances that there are still gaps of service, quality and size in the three-level medical service, the patients in the regions that have implemented integration of medical resources somehow have a declining satisfaction with medical care. These results can be used as an important reference for health care reform.

Key words: single-factor model; ordered Probit model; institutional characteristics; satisfaction with medical services