Parents′ satisfaction to their children′s participation in basic medical insurance and its influencing factors in towns of Fuzhou municipality

  Objective  To investigate the status and impact factors of satisfaction of the parents to their children′s basic medical insurance in towns of Fuzhou municipality, Fujian province.

  Methods  We recruited 483 parents of the children aged ≤ 12 years in 6 towns of Fuzhou municipality using stratified cluster random sampling for a questionnaire survey between August and October 2017. Univariate analysis and multivariate logistic regression analysis were adopted in the study.

  Results  For all the parents, the overall rate of satisfaction to their children′s participation in basic medical insurance was 37.39%. Ordinal logistic regression analysis revealed that significant hindering factors for the parents′ satisfaction included having a one to three years old child (odd ratio OR = 0.256, 95% confidence interval CI: 0.116 – 0.563), being an employee of an enterprise (OR = 0.416, 95% CI: 0.206 – 0.842), having a monthly income of less than 2 000 RMB yuan (OR = 0.095, 95% CI: 0.015 – 0.604) or 2 000 – 3 999 yuan (OR = 0.145, 95% CI: 0.033 – 0.625), having a family annual income of less than 60 000 yuan (OR = 0.062, 95% CI: 0.006 – 0.615) or 60 000 – 79 999 yuan (OR = 0.152, 95%CI: 0.025 – 0.933), selecting hospitals at municipality level or higher as the initial institutions when their children requiring medical service (OR = 0.102, 95% CI: 0.020 – 0.522); while, the satisfaction-promoting factors were selecting medical institutions at county level (OR = 4.332, 95% CI: 1.687 – 11.120), township level (OR = 2.759, 95% CI: 1.158 – 6.575), and community level (OR = 4.545, 95% CI: 1.330 – 15.532) as the initial institutions when their children requiring medical service.

  Conclusion  The parents in towns of Fujian province were not well satisfied to their children's participation in basic medical insurance and the parents′ satisfaction are mainly influenced by their children′s age, occupation, personal monthly income, family income, and the selection of initial medical institutions when their children requiring medical service.