广西壮族自治区城镇居民卫生筹资公平性研究  

Study on equity of urban health financing in Guangxi Zhuang Autonomous Region

作　　者：郭振友[1] 石武祥[1] 

机构地区：[1]桂林医学院公共卫生学院,广西桂林541004

出　　处：《现代预防医学》2013年第2期269-271,278,共4页Modern Preventive Medicine

摘　　要：目的研究广西城镇居民各种卫生筹资渠道的公平程度。方法利用比例法、累进性分析(集中曲线、kakwani指数)等方法分析广西城镇居民各种卫生筹资渠道的公平性。结果广西卫生总费用中个人卫生支出的比例过高。2000～2008年广西城镇居民现金卫生支出筹资的公平性优于通过税收筹资的公平性。税收和现金卫生支出的kakwani指数均为负值,表现为累退性,卫生筹资的公平性较差。结论政府应加大卫生投入,拓展社会筹资渠道,降低个人卫生支出的比例。加强利用税收进行卫生筹资,从而提高卫生筹资的公平性。OBJECTIVE To study on the equity of urban health finance resource in Guangxi. METHODS Evaluated the equity of health finance through scaling method and progressivity （concentration curve, Kakwani index）. RESULTS The portion of individual health expenditure was too high. The equity of the health finance resource by cash was better than tax from 2000 to 2008. The health finance resource by tax and cash didn＇t have good extent of equity, and were all regressive. CONCLUSION The government should increase the health finance, and expand health finance resource to reduce the portion of individual health expenditure. The health finance resource of tax should be reinforced.

关 键 词：卫生筹资 公平性 累进性 

分 类 号：R19[医药卫生—卫生事业管理]