School of Public Health, Fujian Medical University, Fuzhou, 350122, China.
School of Arts and Sciences, Fujian Medical University, Fuzhou, 350122, China.
BMC Public Health. 2022 Apr 19;22(1):790. doi: 10.1186/s12889-022-13106-y.
The sense of gain has gradually become the main evaluation index for the effectiveness of China's deepening reform and is affected by many factors. However, there is no relevant research on the sense of gain of health-care reform (SGHR) and its influencing factors. The purpose of this study was to explore the influence of subjective socioeconomic status (SSS) on SGHR and the mediating role of self-rated health (SRH) between them.
Data (25,149 samples total) from China Family Panel Studies (CFPS) in 2018 were included in the analysis. A nonparametric test was used to explore the differences in demographic characteristics of SGHR, and a correlation analysis and mediating effect model were used to explore the influence of SSS on SGHR and the mediating effect of SRH.
Demographic characteristics such as age, urban and rural areas, educational background, marriage and choice of medical treatment had significant differences in the distribution of perceived acquisition of medical reform. SSS, SRH and SGHR are statistically positively correlated with each other. SSS has a positive statistical correlation with SGHR, and may have an indirect effect through SRH.
SSS is an important predictor of SGHR, and SRH may play a partially mediating role in SGHR.
获得感逐渐成为评价中国深化改革成效的主要指标，受到诸多因素的影响。然而，目前对于医改获得感及其影响因素的研究还较少。本研究旨在探讨主观社会经济地位（SSS）对医改获得感的影响，以及自评健康（SRH）在其中的中介作用。
本研究采用中国家庭追踪调查（CFPS）2018 年的数据（共 25149 个样本），采用非参数检验探讨医改获得感在人口统计学特征方面的差异，采用相关性分析和中介效应模型探讨 SSS 对医改获得感的影响以及 SRH 的中介作用。
在医改获得感的分布上，年龄、城乡、受教育程度、婚姻状况和就医选择等人口统计学特征存在显著差异。SSS、SRH 和 SGHR 之间呈正相关。SSS 与 SGHR 呈正相关，且可能通过 SRH 产生间接影响。
SSS 是医改获得感的重要预测指标，SRH 可能在医改获得感中发挥部分中介作用。
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