不同收入人群的卫生公平性研究:来自陕西眉县的证据  

Study on the Equality of Healthcare Among Different Income Groups:Evidence from Mei County of Shaanxi Province

作　　者：高建民[1] 裴瑶琳[1] 雷瑞杰[2] 王明奇[2] 

机构地区：[1]西安交通大学卫生管理与政策研究所,西安710061 [2]西安交通大学医学院,西安710061

出　　处：《中国卫生经济》2012年第3期51-52,53,54,共4页Chinese Health Economics

基　　金：国家教育部哲学社会科学研究重大课题攻关项(08JZD0022)

摘　　要：文章利用陕西省眉县家庭健康调查数据,采用收入五分组、Gini系数等方法,对我国卫生保健筹资和利用的不平等程度进行了实证分析。结果发现人群之间的贫富差距较大;基本实现了医疗保险的全覆盖,但是低收入人群自己支付了更多的医疗费;较低收入组的需要比较高收入组更高,而最低收入组有着更高的需要,但是很多收入较低的人即使在健康状况很差的情况下,也无法得到所需要的医疗卫生服务,住院利用的公平性亟待改善,低收入人群的福利受到了特别的损害。如何解决低收入人群的基本医疗保障问题,是目前在新型医疗保障体系建立过程中需要深入研究的一个突出问题。最后指出了研究的局限性,并对未来的研究方向和策略提出了建议。Based on the family health survey in Mei （＇ounty, Shaanxi Province, the measurement of five income groups, Gini method, the degree of inequality in heahhcare financing and delivery in China is empirically examined. Big gap of income inequality is found; China has basically realized full coverage of medical insurance, hut low-income people are likely to pay more on their medical expenses; compared with the high-income group, the needs of health care of lower-income groups is higher, especially for the lowest income group. Even in the case of poor health, lower income groups could not gel the needed health services, anti the fairness of hospital utilization need to be improved： it is showed that the benefits of tnw-income group has been damaged. How to solve low-income people＇s basic health care issues, is currently in the process of building a new health care system and needs further study in a prominent issue. At last, aiter pointing out the limitations, the study also proposes some suggestions for future research.

关 键 词：卫生公平性 筹资 利用 陕西 

分 类 号：R197.1[医药卫生—卫生事业管理]