某市新型农村合作医疗卫生服务利用公平性分析  

Fairness Analysis of the Health Service of the New Rural Cooperative Medical System in One City

作　　者：王黎明[1] 罗家洪[1] 李晓梅[1] 解嘉鸿 杨明 毛勇[1] 刘建平[1] 郑佳瑞[1] 

机构地区：[1]昆明医学院公共卫生学院卫生统计学教研室,云南昆明650031 [2]昆明市卫生局,云南昆明650011

出　　处：《中国卫生质量管理》2009年第2期6-8,共3页Chinese Health Quality Management

基　　金：云南省自然科学基金项目(2004C0045M);昆明市卫生局科研基金项目(200605)

摘　　要：目的探讨新型农村合作医疗的卫生筹资公平性及其影响因素,为相关部门完善新农合制度提供科学依据。方法采用WHO在《2000年世界卫生报告》中所介绍的卫生筹资贡献率(HFC)、卫生筹资公平性指数(FFC)、灾难性卫生支出(CEH)来评价。结果HFC为17.3%,FFC为0.30;安宁市农民家庭新农合筹资公平性低于国内平均水平;影响家庭灾难性卫生支出的因素主要是家庭年收入。结论新型农村合作医疗制度应适当向低收入人群倾斜,以提高其筹资公平性。Objective To explore the fairness of the health financing and the factors impacting the catastrophic health expenditure （CEH） to the new rural cooperative medical system（abbr. NRCMS） and to provide scientific evidence for NRCMS improvement. Method HFC,FFC which in introduced in WHO ＂2000 World Health Report＂ and CEH were used to analyze the funding equity method. Results Health funding contribution rate HFC was 17. 3% , equity index of health financing FFC was 0.3. The fairness of the health financing of NRCMS for the farmer family in Anning city was lower than the national average level . Family income was the main factor in influencing the catastrophic health expenditure of the family. Conclusions The NRCMS should inclined to low--income people to improve the fairness of health financing of NRCMS.

关 键 词：新型农村合作医疗 卫生服务 筹资 公平性 

分 类 号：R197.1[医药卫生—卫生事业管理] R199.2[医药卫生—公共卫生与预防医学]