中文摘要：

目的了解上海市居民对当前推行医疗保险政策的满意程度,对现行医保政策提出改革建议。方法选取上海市3个地区1800人调查,采用随机分层抽样,选取上海市中心地区（徐汇区和卢湾区）,上海市城乡结合区（宝山和闵行区）,上海市郊区（金山和青浦区）居民。结果分析了不同居民对目前医保支付比例的满意度和不同居民对医院实行医疗费用预付制的看法。结论提出新医改形势下的医疗保险方案,主要包括：增加纳入基本医保支付范围的社区卫生服务项目,完善社区卫生服务支付政策,基本医保完善双向转诊制度,完善社区医疗政策,改革管理、考核体系,医院实施实施DRGs制度,社区实施按照人头付费.

英文摘要：

Objective Understanding resident satisfaction of medical guarantee policy in Shanghai City and putting forword policy suggestion.Methods Selecting 1800 people in Shanghai region in City.The samples was taked by the machine layering.We selected the samples of the country center region（for example xuhui and luwan districts）,and city combination region（for example baoshan and minhang sistricts） and Shanghai suburb（jinshan and qingpu district） Consequently.Results We analyzed the satisfaction of pay money ratio and the meaning of prepays system of hospital in different resident.Conclusion The conclusion was taken up： including： The that gain bring into is basic to cure the community hygiene service to pay the scope item,service of perfect community hygiene to pay the policy,fundamental to cure the directions of perfect doubles to turn the system,policy of perfect community medical treatment,and reform the management,investigate the system,hospital to into practice to into practice the DRGs system,community to into practice according to the person’s head to pay.