Satisfaction to policies for medication with cross-region reimbursement among staff in designated hospitals in Guangdong province

  Objective  To investigate the satisfaction to polices for medication with cross-region reimbursement among staff in designated hospitals providing the medical service and to assess the implementation effect of the polices from the staff's point of view.

  Methods  We recruited 5 staff (one medical insurance administrator, two doctors and two nurses) in each of the 426 designated hospitals providing medications with cross-region reimbursement in Guangdong province and conducted a self-administered questionnaire survey on the staff's satisfaction to polices relevant to the implementation of this kind of medication in August 2017. We adopted descriptive statistics, chi-square test and binary logistic regression analysis in the study.

  Results  Of the 1 756 staff providing valid information, 1 526 (86.9%) reported general satisfaction and 230 (13.1%) reported unsatisfaction to the relevant policies. The results of multivariate logistic regression revealed following four significant influencing factors for the staff's satisfaction to the policies for the medication with cross-region reimbursement: the implementation effects of the polices, the efficiency of administrative management, no requirement for advance payment for all the hospitalization cost, and no requirement for reimbursement at original residence registered for medical insurance (P < 0.05 for all).

  Conclusion  The majority of the staff in designated hospitals is satisfied to the implementation of policies relevant to medication with cross-region reimbursement and the polices need to be improved continuously to perfect the medical care insurance system.