新型农村合作医疗保险住院补偿受益公平性分析  

Analyzing the beneficial equity of inpatient compensation in New Rural Cooperative Medical System

作　　者：刘文莉[1] 徐凌忠[1] 李佳佳[1] 丁干[1] 许建强[1] 

机构地区：[1]山东大学社会医学与卫生事业管理研究所,山东济南250012

出　　处：《中国卫生事业管理》2017年第2期117-119,共3页Chinese Health Service Management

基　　金：山东省卫生厅项目:山东省第五次国家卫生服务调查

摘　　要：目的:分析新农合住院补偿受益的人群分布及公平性,为调整和设计城乡居民医保提供参考依据。方法:利用集中指数、集中曲线及Kakwani指数从绝对公平和相对公平两个层面评价新农合住院补偿的公平性,利用多元线性回归进一步分析住院补偿在不同人群的分布特征。结果:新农合住院补偿存在有利于富人的不公平,男性、较高年龄、经济水平较高组别、健康水平较差、高级别医疗机构就诊、住院天数多、有手术的新农合参保住院患者获得了更多的住院补偿。结论:医保制度设计应侧重对低收入人群补偿,同时应发挥好居民收入、报销的"双分档"作用。Objective To analyze the distribution and beneficial equity of inpatient compensation of New Rural Cooperative Medical System （NRCMS）, and provide references for urban and rural residents medical insurance. Methods The equity of inpatient compensation of NRCMS was studied from two aspects of absolute equity and relative equity with concentration index, concentration curve and Kakwani index. And the distribution characteristic of inpatient compensation in different groups was analyzed with multiple linear regression. Resuhs The inpatient compensation of New Rural Cooperative Medical System was injustice, which is in favor for the rich. Inpatients of male, older, higher economic income, unhealthy, higher level medical institutions, more hospitalization days and operation can gain more compensation from NRCMS. Conclusion The design of medical insurance system should be paid attention to the compensation for low-income people and play the role of ＂double classification＂ in residents＇ income and reimbursement.

关 键 词：新型农村合作医疗 住院补偿 公平性 

分 类 号：R197.1[医药卫生—卫生事业管理] F842.684[医药卫生—公共卫生与预防医学] F323.89[经济管理—保险]