Investigation on willingness and influencing factors of children's parents towards commercial insurance compensation for adverse events following immunization in Shanxi Province 2021
Objective To investigate the willingness and influencing factors of children's parents towards commercial insurance compensation and purchasing supplementary insurance for adverse events following immunization in Shanxi province.Methods A site questionnaire survey was conducted among children's parents by multistage sampling during November to December 2021.The results were analyzed by Chi-square test and multivariate Logistic regression analysis,test level α=0.05.Results A total of 1 012 questionaires were issued,975 of which were valid.The support rate for the government to implement commercial insurance compensation was 78.1%,and the willingness to buy supplementary insurance was 72.2%.Logistic regression analysis showed that parents who were domiciled in the Province,vaccinated at the township level,lived in urban areas,had no financial burden,had children with AEFI,knew about AEFI,and employed by state-owned enterprises and institutions,workers/farmers/businesses/catering services were more willing to support commercial insurance compensation.The parents who were only children,were domiciled in the province,vaccinated at county or township level,had no financial burden,and were aware of the current compensation method were more willing to purchase commercial supplementary insurance.The respondents wanted Association of Preventive Medicine to organize diagnosis(50.8%),compensation for inducing or aggravating the original disease(62.4%)and accidental death(40%),compensation for charge for loss of working time(63%),mental damage compensation(50.3%),transportation costs(44.2%),accommodation expenses(43.6%)and funeral expenses(32.1%).Conclusions The parents of children have a relatively high willingness to implement commercial insurance compensation and supplementary insurance.By carrying out targeted education according to population characteristics,so that to improve parents'awareness of AEFI knowledge and compensation procedures,expand the scope and items of compensation,parents'willingness to insurance compensate can be improved.