School of Political Science and Public Management, Wuhan University, Wuhan, China.
College of Management, Shenzhen University, Shenzhen, China.
Front Public Health. 2023 Aug 21;11:1136178. doi: 10.3389/fpubh.2023.1136178. eCollection 2023.
Medical insurance information disclosure is not only a direct way for the public to understand and master social insurance information and resource use benefits, but also an important way for the public to participate in medical service governance and supervision. Some studies have shown that information disclosure can significantly reduce the risk perception of user groups, strengthen their trust and reduce the negative impact of information asymmetry.
Based on risk perception and trust perception theories, this paper focuses on the mechanisms influencing patients' attitudes in the process of implementing a Diagnosis Related Groups payment system. Using medical insurance information disclosure from a governance perspective as the research object, the impact of medical insurance information disclosure on patients' willingness to adopt the Diagnosis Related Groups payment system was analyzed by means of a questionnaire survey, Data analysis and hypothesis testing SPSS while the mechanism of the impact of medical insurance information disclosure on patients' attitudes was explored in depth.
It was found that medical insurance information disclosure had a significant positive effect on patients' trust perceptions and a significant negative effect on patients' risk perceptions. The more comprehensive information patients received, the stronger their trust and the lower their perceived risk.
This paper conducts an empirical study from patients' perspective, broadens the scope of research on medical insurance Diagnosis related groups, enriches the application of risk perception and trust perception theories in the medical field, and provides management suggestions for medical institutions in the management of medical insurance information disclosure.
医疗保险信息披露不仅是公众了解和掌握社会保险信息和资源利用效益的直接途径，也是公众参与医疗服务治理和监督的重要途径。一些研究表明，信息披露可以显著降低用户群体的风险感知，增强他们的信任，并减少信息不对称的负面影响。
本文基于风险感知和信任感知理论，聚焦于在实施按疾病诊断相关分组（DRGs）付费制度的过程中影响患者态度的机制。以医疗保险信息披露的治理视角为研究对象，采用问卷调查、数据分析和假设检验的方法，利用 SPSS 探讨了医疗保险信息披露对患者采用 DRGs 支付系统意愿的影响，并深入探讨了医疗保险信息披露对患者态度的影响机制。
研究发现，医疗保险信息披露对患者的信任感知具有显著的正向影响，对患者的风险感知具有显著的负向影响。患者接收到的信息越全面，他们的信任度就越强，感知到的风险就越低。
本文从患者角度进行实证研究，拓宽了医疗保险 DRGs 研究的范围，丰富了风险感知和信任感知理论在医疗领域的应用，为医疗机构在医疗保险信息披露管理方面提供了管理建议。
