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影响城市居民医疗满意度的因素众多,能否便利地接近获取优质医疗服务资源对个体的医疗满意度起关键作用。为此,本文提出“医疗服务圈”的概念,认为在医疗资源稀缺和分布不平衡的情况下会形成医疗服务壁垒。而城市居民所在的城市区位、单位体制与个人权力、家庭收入及就医过程中使用社会关系的差异,对于跨越壁垒、获得较好的医疗满意度有不同影响。实证研究发现:居民的总体医疗满意度在八城市之间存在一定差异;在体制内单位工作的城市居民的医疗满意度更高;家庭收入的提高能提升居民医疗满意度。另外,就医过程中使用关系,会显著降低城市居民的医疗满意度。这在一定程度上反映了居民就医动用关系是被动的,加重了其经济和人情的负担。
There are many factors that affect the medical satisfaction of urban residents. Convenient access to high-quality medical service resources plays a key role in the individual’s medical satisfaction. For this reason, this paper puts forward the concept of “medical service circle ”, and believes that medical service barriers will be formed when the medical resources are scarce and distributed unevenly. However, the urban location of urban residents, the difference between unit system and individual power, family income and the social relations in the process of seeking medical treatment have different impacts on crossing barriers and obtaining better medical satisfaction. The empirical study found that: residents ’overall medical satisfaction is different among eight cities; urban residents who work within the system have higher medical satisfaction; and the increase of family income can improve residents’ medical satisfaction. In addition, the use of medical treatment during the relationship will significantly reduce the medical satisfaction of urban residents. To a certain extent, this reflects that residents are passive in their medical relationship and aggravate their economic and human burden.