宁夏海原县居民住院患者受益程度公平性分析  

Analyzing the Equality of Inpatients' Benefit Compensation in Haiyuan County of Ningxia

作　　者：谢永鑫 乔慧 程旺 陈蕾 

机构地区：[1]宁夏医科大学公共卫生与管理学院,宁夏银川750004

出　　处：《中国卫生事业管理》2018年第1期17-19,39,共4页Chinese Health Service Management

基　　金：国家自然科学基金资助项目"新农合方案调整对宁夏项目县农村居民受益分布及疾病经济负担的影响研究"(71463046);宁夏卫生厅与哈佛大学合作项目"创新支付制度;提高卫生效益"

摘　　要：目的:评价新农合住院患者受益程度不公平性,并分析各影响因素的贡献程度。方法:利用农村居民家庭卫生健康询问调查数据,采用多元线性回归模型分析受益程度相关影响因素,利用集中指数及其分解法分析各因素对受益程度的贡献。结果:住院患者受益率为81.50%;不同经济组间住院患者受益率及受益程度均有差别(P<0.05);主要影响因素为家庭经济状况、年龄、住院天数、住院机构、文化程度;各因素对受益程度不公平的贡献中,家庭经济状况贡献率为61.90%、年龄为12.63%、初中及以上为12.03%、住院机构为11.77%、住院天数为7.22%。结论:家庭经济状况对受益程度不公平的贡献较大,应改善资源分配,推进"三医联动"、支付模式改革、家庭医生签约制,降低受益程度不公平。Objective To evaluate the inequity of inpatients＇ benefit compensation in new rural cooperative medical system, and analyze the contribution of each influencing factor. Method The data was collected from the rural household health survey and analyzed with multivariate linear regression model and concentration index （CI） and decomposition method. Results The inpatients＇ benefit rate was 81.50%. There had significant differences of benefit rate and benefit degree among inpatients in different economic conditions （ P 〈 0.05 ）. The main influencing factors were family economic status, age, days in hospital, hospital organization and education background. The factors of family economic status, age, education background, hospital organization and days in hospital had contribution rate as 61.90%, 12. 63%, 12. 03%, 11.77% and 7.22%, respectively. Conclusion The factor of family economic status had the highest contribution to the inequality of inpatients ＇ benefit compensation. It is suggested to improve resource allocation, promote the ＂triple medical alliance＂, reform on payment model, and implement family doctor system.

关 键 词：受益程度 公平性 集中指数分解 

分 类 号：R197[医药卫生—卫生事业管理]