No abstract

their uninsured status. The current study aimed to evaluate the effect of new health system from the perspective of the insured students one year after program implementation. METHODS: Based on the Chinese Customer Satisfaction Index and review of the literatures, we built a satisfaction evaluation system for URMS of university students, with one first-level, 7 second-level (Latent variable, xm) and 24 third-level indicators (Explicit variable, yn) to be scored on a five-point Likert-type scale. After pilot testing and subsequent adjustment, 400 questionnaires were issued to students in 4 universities in NE China. After obtaining the affecting order of third indexes to their corresponding secondary index through the correlation test, a Structural Equation Model (SEM) for the satisfaction assessment of URSM was built basing on the calculated Path coefficient between the xm and yn after multiple linear regressions. Goodness of fit statistics of SEM were used to assess the match between this model and satisfaction assessment. RESULTS: A total of 393 questionnaires were returned giving a recovered rate 98.3%. The path coefficients between xm and yn were: customer trust 1.26, the perceived quality 0.88, customer complaints 0.80, customer expectations 0.44, public information 0.31, and image of the government 0.29. The satisfaction score of UMRS (29.06 out of 69.75 points) showed very low satisfaction level of university students towards the program. CONCLUSIONS: The results showed the satisfaction assessment model was suitable to this study. Based on the order of path coefficients, several reform proposals for improving university students' medical insurance are proposed, including establishing a multi-level medical insurance system with corresponding regulatory and monitoring mechanism of its performance; as well as enhancing awareness and education of students about health insurance.