基于S省市、县级卫生事业费地区分布公平性的测量研究  

Studying on the equity of regional distribution of health operating expenses

作　　者：孙经杰 韩超[2] 于风华[2,3] 

机构地区：[1]山东省卫生统计信息中心,山东济南250014 [2]山东大学卫生管理与政策研究中心 [3]山东省卫生厅

出　　处：《中国卫生事业管理》2012年第7期507-508,共2页Chinese Health Service Management

基　　金：山东省自然科学基金资助项目(项目编号:ZR2009HM028)

摘　　要：目的:测量研究卫生事业费地区分布的公平程度,以期为深化医改提供参考。方法:使用2009年S省17市和140县的横截面数据,运用Gini系数计算理论方法,测量卫生事业费的地区分布差异;同时,开展纵向比较,考察2000～2009年17市的Gini系数变化趋势。资料来源于S省卫生部门财务年报和社会经济统计资料。结果:2009年17市卫生事业费Gini系数为0.372;17市卫生事业费Gini系数由2000年的0.200增加为2009年的0.372;2009年140县(市区)卫生事业费Gini系数为0.31。建议:调整卫生筹资政策,加大卫生事业费的财政转移支付力度,提高地区间财政补助的公平程度。Objective To study the equity of regional distribution of health operating expenses, and provide references for fur- ther deepening health care reform. Methods Data from cross-sectional study in 17 cities and 140 counties of S province in 2009 was used to analyze the differences of regional distribution of health operating expenses,with Gini coefficient theory. Meanwhile, variation trend of Gini coefficient of 17 cities from 2000 to 2009 was studied. Data came from health finance report and social and economic statistics of S province. Results The Gini coefficient of health operating expenses in 17 cities was 0. 372 in 2009, which increased from 0. 200 in 2000. And the Gini coefficient of health operating expenses in 140 counties was 0.31 in 2009. Conclusion The equity of financial subsidy among different regions can be improved by adjusting health financing policy and strengthening financial transfer for health operating expenses.

关 键 词：卫生事业费 公平性 GINI系数 测量 

分 类 号：R197.1[医药卫生—卫生事业管理]