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目的了解当前杭州市农民工参加医疗保险的状况,为建立健全农民工的医疗保障制度提供依据。方法采用问卷调查方式,对杭州市930位外来农民工就对医疗保险的认识、参加社会保险情况、未参加医疗保险的原因等内容进行了调查和访谈。结果有44．1％的人认为医疗保险最重要;49．0％的农民工未参加任何保险,35．2％的农民工参加了养老保险,31．6％的人参加了医疗保险。参保率低的原因有多种。结论要加强医疗保险政策宣传力度,积极推进社会保障立法,实现法制化管理。要适应农民工群体流动性、多样性的特点,实行以大病统筹为主体的多层次、多险种的医疗保障,实现参保方式的灵活转换。
Objective To understand the current status of migrant workers participating in medical insurance in Hangzhou and to provide basis for establishing and improving the medical insurance system for migrant workers. Methods A questionnaire survey was conducted to investigate and interview 930 foreign migrant workers in Hangzhou on their understanding of medical insurance, their participation in social insurance and the reasons for not participating in medical insurance. As a result, 44.1% of people think that medical insurance is the most important. 49.0% of migrant workers do not participate in any insurance, 35.2% of migrant workers participate in old-age insurance, and 31.6% participate in medical insurance. There are many reasons for the low insured rate. Conclusion We should step up publicity of medical insurance policies, actively promote social security legislation and achieve legal management. To meet the mobility of migrant workers groups, the characteristics of diversity, the implementation of major diseases as the main body of the multi-level, multi-type of medical insurance, to achieve the flexible conversion of the mode of insured.