2008年新疆维吾尔自治区城乡政府医疗机构补助受益归属分析  

Benefit Incidence Analysis of Urban and Rural Government Medical Institution Subsidy in Xinjiang Uygur Autonomous Region in 2008

作　　者：李晓娜[1] 秦江梅[1] 唐景霞[1] 陈景春 许东霞[1] 李小菊[1] 

机构地区：[1]石河子大学医学院预防系,新疆石河子832002 [2]新疆维吾尔自治区卫生厅,乌鲁木齐830000

出　　处：《中国卫生经济》2010年第11期24-26,共3页Chinese Health Economics

摘　　要：目的:了解新疆维吾尔自治区政府医疗机构补助在城乡不同经济群体间的分布,评价补助分布的公平性。方法:运用受益归属分析方法测算补助的五分组受益、集中指数和Kakwani指数。结果:城乡门诊补助、住院补助和总补助集中指数均为正值,Kakwani指数均为负值;门诊补助集中指数城市0.143小于农村0.234,住院补助集中指数农村0.165小于城市0.177。结论:我区城乡政府医疗机构补助分布不公平,均未向贫困人群倾斜,但相对经济水平而言补助均缩小了社会相对贫富差距;城市门诊补助公平性好于农村,农村住院补助公平性好于城市。Objectives：To analyze the distribution of government medical institution subsidy among different economic groups between urban and rural areas of Xinjiang Uygur Autonomous Region and evaluate the equity.Methods：Using benefit incidence analysis to calculate the benefits in five ranks,concentration index（CI） and Kakwani index.Results：In urban and rural areas,the CI of outpatient subsidy,and inpatient subsidy and total subsidy were all plus and Kakwani indexes were all minus;the CI of outpatient subsidy in urban was 0.143 smaller than rural 0.234,and the CI of inpatient subsidy in rural was 0.165 smaller than urban 0.177.Conclusions：Government medical institution subsidy in urban and rural areas all reduced the relative gap in different economic groups,but didn＇t move toward the poor;between urban and rural areas,the equity of outpatient subsidy in urban was better and the equity of inpatient subsidy in rural was better,too.

关 键 词：医疗机构 补助 城乡 公平性 

分 类 号：R197.1[医药卫生—卫生事业管理]