政府医疗补助受益归属研究:基于省级数据的实证分析  

Benefit Incidence Analysis of Government Medical Subsidy:The Empirical Analysis Based on Provincial Data

作　　者：赖莎 李倩[2] 高建民 

机构地区：[1]西安交通大学公共政策与管理学院卫生管理与政策研究所,西安710061 [2]西安交通大学第一附属医院,西安710061

出　　处：《中国卫生经济》2015年第5期9-11,共3页Chinese Health Economics

基　　金：教育部哲学社会科学研究重大课题攻关项目(08JZD0022)

摘　　要：目的:分析与评价政府医疗补助受益的人群分布及公平性。方法:运用受益归属分析方法,以家庭中的个体成员为分析对象,利用集中指数、集中曲线及Kakwani指数从绝对公平和相对公平两个角度评价政府补助的公平性。结果与结论:政府医疗补助存在有利于富人的不公平,但起到了降低社会相对贫困的作用;住院补助的绝对公平性低于门诊,城市居民的医疗补助绝对公平性低于农村;医疗补助在缩短社会相对贫困差距方面,门诊补助作用强于住院,农村强于城市。Objective:To analyze and evaluate the distribution characteristics and equity of the benefited group of governmentmedical subsidy.Methods:Using individual family mumber as the research objective,concentration index,concentration curve andKakwani index were applied to evaluate the equity of government subsity from absolute equity and relative equity perspectives basedon benefit attribution analysis method.Results and Conclusion:There existed injustice for the rich in government medical subsidy,but it decreased the social relative pverty;the absolute equity of hospitalization was lower than the outpatient service,the absolute eq-uity of urban residents' medical subisidy was lower than the rural residents.For narrowing social relative poverty gap by medical sub-sidy,outpatient subsidy play more important role than hospitalization,rural areas were better than the urban area.

关 键 词：财政补助 医疗补助 受益归属 集中指数 

分 类 号：F842.684[经济管理—保险] R197.1[医药卫生—卫生事业管理]