Abstract

Health insurance is an important social policy with humanitarian meaning and profound community sharing, which is highly valued and promoted by the Vietnamese Government in the social security policy system. Therefore, it is necessary to study users’ satisfaction to medical examination and treatment services with health insurance cards. Based on the questionnaire surveys, the research team conducted Cronbach's Alpha analysis of each factor, assessed the scale reliability. Multivariate regression and ANOVA test showed that all four components: health services, human resources, medical examination and treatment costs, medical information and medical products positively affected users’ satisfaction to medical examination and treatment services with health insurance cards in Ninh Binh province, Vietnam. Based on the survey results and the information exchanged directly with people who came for medical examination and treatment, the research team drew out shortcomings in medical examination and treatment for users of health insurance card sin Ninh Binh province. Shortcomings in medical examination and treatment with health insurance cards were pointed out as an important basis for proposals to improve the medical examination and treatment quality for insured subjects including: Health insurance costs and response levels; Medical examination and treatment process with health insurance and doctor’s responsibility. Reasonable waiting time and hospital environment; Health insurance-based drug delivery.

Highlights

  • From the table summarizing turns of people who receive medical examination and treatment with health insurance cards in Ninh Binh province, the number of people who receive medical examination and treatment with health insurance cards in Ninh Binh province has increased over years

  • From 2018 the number of people coming for medical examination with health insurance cards increased by 123% compared to 2017[4]

  • In the first 6 months of 2020, Ninh Binh province received 171,000 people who came for medical examination and treatment; including nearly 120,000 turns with health insurance cards [5]

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Summary

Methods

The sample size taken depends on the analytical method, this study uses descriptive statistics and some tests, so the sample size was at least 5 times the observatory variable [11]. With 220 questionnaires distributed during the survey in Ninh Binh province, the research team collected 197 votes, 19 of which were invalid, the remaining 178 votes were input and data analyzed sufficiently to analytical methods in the study with 21 component variables. With the primary data collected, the author used descriptive statistics method with criteria such as frequency, rate, and mean to analyze the actual situation on use of medical services by health insurance card users in Ninh Binh province. Groups of factors affecting the satisfaction of health insurance patients in Ninh Binh province were analyzed by Cronbach's Alpha factor in combination with exploratory factor analysis (EFA). The author applied multivariate linear regression analysis model to review the impact of groups of factors on patient satisfaction

Results
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