黑龙江省农村家庭灾难性卫生支出分析  

Analysis on Catastrophic Health Expenditure in Rural Households of Heilongjiang

作　　者：付文琦[1] 李宝玉[2] 张清华[3] 刘国祥[1] 

机构地区：[1]哈尔滨医科大学公共卫生学院卫生经济教研室,哈尔滨150081 [2]连云港市第一人民医院医务处,江苏连云港222002 [3]浙江大学医学院附属义乌医院品管部,杭州322000

出　　处：《中国卫生经济》2014年第2期46-47,共2页Chinese Health Economics

基　　金：黑龙江省卫生厅科技计划研究项目资助(2009-231)

摘　　要：目的:测算黑龙江省农村家庭受灾难性卫生支出的影响,以了解贫困地区卫生服务利用的公平性,找出其政策支持的突破点。方法:采用2008年黑龙江省第四次卫生服务调查数据,利用灾难性卫生支出测算方法,测算全部家庭总体和按家庭收入5分组人群的家庭灾难性卫生支出发生率、平均差距和相对差距。结果:灾难性卫生支出发生率以最贫困组为最高、其次为次贫困组和中等收入组,相对差距以次富裕组为最高。结论:黑龙江省农村地区卫生服务利用公平性存在问题,解决的关键在于减少灾难性卫生支出对贫困人群的影响。Objective： Measuring the influences of catastrophic health expenditure on rural households of Heilongjiang to understand the fairness of health services utilization in poverty-stricken areas and point out the breakthrough point of the policy support. Methods： Applying the measurement method of catastrophic health expenditure and using the data of Heilongjiang Fourth Health Services Survey in 2008 to measure the incidence, the average gap and relative gap of catastrophic health expenditure of the whole households and different groups of households. Results： The highest incidence of catastrophic health expenditure existed in the poorest groups, followed by secondary poor and middle-income groups, the highest relative gap of catastrophic health expenditure existed in the highest rich group. Conclusion： Health services utilization for rural households is unfair in Heilongjiang. The key to solve the problem is to reduce the impact of catastrophic health expenditure on poor group.

关 键 词：灾难性卫生支出 贫困人群 农村家庭 黑龙江 

分 类 号：R197.1[医药卫生—卫生事业管理]