武汉工程职业技术学院学报

为了解西部欠发达地区全民医保政策落实情况以及全民医保政策宣传如何影响参保民众的主观生活幸福感，在甘肃、青海两省通过参与式观察、问卷调查与半结构式访谈等研究方法进行调研，发现：（1）政策宣传通过“政策了解”与“政策满意度”两个关键变量的中介作用，间接对主观幸福感施加影响；（2）“政策了解”的中介路径受到宣传渠道的显著调节，非官方渠道更能有效增进民众对政策的理解。在推进健康中国战略中，优化宣传策略、拓宽非官方传播渠道对于提升西部欠发达地区民众的主观幸福感具有实践价值。

To understand the implementation of universal health insurance policies in underdeveloped western regions and how the promotion of these policies affects the subjective life satisfaction of enrolled residents,a study was conducted in Gansu and Qinghai provinces using research methods such as participatory observation,questionnaire surveys,and semi-structured interviews.The findings revealed that:(1)Policy promotion indirectly influences subjective well-being through the mediating effects of two key variables:“policy understanding” and “policy satisfaction”;(2)The mediating path of “policy understanding”is significantly moderated by communication channels,with unofficial channels proving more effective in enhancing public comprehension of policies.This study elucidates the mechanism through which policy promotion affects public well-being via the dual mediating paths of “understanding-satisfaction” and identifies the moderating role of communication channels.In advancing the Healthy China strategy,optimizing promotion strategies and expanding unofficial communication channels hold practical value for enhancing the subjective well-being of residents in underdeveloped western regions.