Objective To explore the implementation effects

problems and solutions of the medical insurance of college students since they were included in the medical insurance system for urban residents so as to promote the medical insurance system for college students to be perfect.Methods 4 620 college students from 5colleges and universities in Jinan city were surveyed with questionnaires and individual interviews and the results were statistically analyzed.Results 3 591students（77.73%）were satisfied or very satisfied with the current health care system for college students

546students（11.82%）thought it brought no change into their life

483students（10.45%）were dissatisfied.70.74%（3 268）of students believed the health care insurance for college students played a significant or some role in protecting their physical health and meeting their basic medical needs

and 1 090students（23.59%）and 262students（5.67%）thought it played a insignificant or no role.77.47%（3 579）of students had insured

16.08%（743）of students were going to insure.For the motivation to insure

70.33%（3 249）of the students voluntarily chose to insure themselves for the medical insurance

956（20.69%）students chose to buy insurance only because they were required to do it by their school

415students（8.98%）followed the general trend to insure themselves.Most college students were optimistic about their physical health and 3 720students（80.52%）considered themselves very healthy or healthy.During one medical year

1 169students（25.30%）did not seek medical treatment;3451students（74.70%）received medical treatment

among them

2 803（81.22%）had medical treatment once to three times and 522（15.13%）four to five times.Students who paid outpatient medical cost less than 100 yuan and101to 299 yuan were respectively 1 010（29.27%）and 1 457（42.22%）

the number of students who spent300 to 599yuan was 590（17.10%）and 394students（11.41%）spent more than 600 yuan.In terms of the publicity of school health care insurance policy

1 045students（22.62%）held that their school made great efforts at its publicity and achieved good effects

but 2 164（46.84%）believed the effects of its publicity were not significant

and 1 107（23.96%）thought their school had almost no publicity and 304（6.58%）did not know about it.For the existing medical insurance policy

students who knew its payment standard and insure procedures were 2 882（62.38%）and 2 482（53.73%）

and students who knew insurance treatment and reimbursement procedures were less

only 1 798（38.93%）and 1 720（37.23%）.68.27%（3 154）of students thought the outpatient reimbursement procedures were tedious and 60.78%（2 808）of students considered the outpatient reimbursement ratio was too low.and students who believed that the medical insurance had narrow coverage and hospitalization reimbursement ratio was low accounted for 51.47%（2 378）and 38.87%（1796）.For the medical insurance process

3 730（80.74%）students reflected that not-timely issued medical insurance cards would affect the cardholders to receive medical treatment.3 374（73.03%）students chose their school hospital

2 798（83.05%）selected their school hospital mainly for the convenience and saving their time

and 792（73.06%）did not go to their school hospital because the diagnosis and treatment were not good.Conclusion The medical insurance system in Jinan city runs well

and increased publicity

optimized reimbursement procedures and working processes

improving medical service capability of school hospitals and other measures will attract more college students to insure themselves and increase their identity and satisfaction for the medical insurance policy.