基于基尼系数和泰尔指数的我国医保公平性研究  

Research on Fairness of China Medical Insurance Based on the Gini Coefficient and Theil Index

作　　者：李华业[1] 胡西厚[1] 王雪蝶[1] 翟向明[1] 

机构地区：[1]滨州医学院公共卫生与管理学院,山东烟台264003

出　　处：《医学与哲学（A）》2016年第12期59-62,共4页Medicine & Philosophy:Humanistic & Social Medicine Edition

基　　金：2014年教育部人文社会科学研究规划基金项目;项目编号:14YJAZH032;2016年山东省软科学研究计划;项目编号:2016RKB14008;2016年山东省社科联人文社会科学课题;项目编号:16-ZZ-SH-05

摘　　要：基于基尼系数和泰尔指数的研究方法，以城镇职工医疗保险基金人均支出为评价指标，对我国城镇职工医疗保险的公平性进行评价。结果显示，2007年～2013年我国城镇职工医疗保险总体上呈现较公平状态，但各省份之间的差距有所扩大；其中，中部地区各省份之间职工医疗保险的公平性优于东部和西部地区；但中部地区职工医疗保险基金人均支出水平低于东部和西部地区。今后我国应逐步提升中部地区各省份的医疗保险待遇水平，同时改进东部地区和西部地区的区域公平性，进而促进我国医疗保险制度的公平可持续发展。Based on the Gini coefficient and Theil index, it evaluated the fairness of medical insurance for urban workers, by choosing the per capita expenditure of medical insurance funds as the indicator. The results showed that medical insurance for urban workers in China was generally fair from 2007 to 2013, but the gap between every province had expanded. The fairness of medical insurance for urban workers in the central region was better than that of the eastern and western regions, but the per capita expenditure of medical insurance funds in the central region was lower than that in the eastern and western regions. In the future, China should gradually promote the level of medical insurance of the central region, while improving the regional fairness of the eastern and western regions, in order to promote sound and sustainable development of medical insurance system.

关 键 词：医疗保险 公平性 基尼系数 泰尔指数 

分 类 号：R197[医药卫生—卫生事业管理]