中国卫生经济
中國衛生經濟
중국위생경제
CHINESE HEALTH ECONOMICS
2013年
9期
33-37
,共5页
健康公平%健康绩效%集中指数
健康公平%健康績效%集中指數
건강공평%건강적효%집중지수
health equity%health performance%concentration index
目的：分析中国城镇居民的健康水平、公平和健康绩效的现况和趋势。方法：标准化集中指数、扩展集中指数和健康绩效指数。结果：2007-2011年，中国城镇居民的慢性病和自评健康状况逐年好转，伤残状况变化不明显；不同收入的城镇居民之间存在健康不公平，慢性病和伤残倾向于穷人，自评健康倾向于富人，但是自评健康的不公平程度呈现逐年下降的趋势；综合健康水平和公平来看，自评健康和慢性病的健康绩效有所改善，伤残状况持续严重。结论：新医改并没有明显改善中国城镇居民的健康公平和健康绩效，在新医改的目标设置中，促进健康公平应占有更加重要的位置。
目的：分析中國城鎮居民的健康水平、公平和健康績效的現況和趨勢。方法：標準化集中指數、擴展集中指數和健康績效指數。結果：2007-2011年，中國城鎮居民的慢性病和自評健康狀況逐年好轉，傷殘狀況變化不明顯；不同收入的城鎮居民之間存在健康不公平，慢性病和傷殘傾嚮于窮人，自評健康傾嚮于富人，但是自評健康的不公平程度呈現逐年下降的趨勢；綜閤健康水平和公平來看，自評健康和慢性病的健康績效有所改善，傷殘狀況持續嚴重。結論：新醫改併沒有明顯改善中國城鎮居民的健康公平和健康績效，在新醫改的目標設置中，促進健康公平應佔有更加重要的位置。
목적：분석중국성진거민적건강수평、공평화건강적효적현황화추세。방법：표준화집중지수、확전집중지수화건강적효지수。결과：2007-2011년，중국성진거민적만성병화자평건강상황축년호전，상잔상황변화불명현；불동수입적성진거민지간존재건강불공평，만성병화상잔경향우궁인，자평건강경향우부인，단시자평건강적불공평정도정현축년하강적추세；종합건강수평화공평래간，자평건강화만성병적건강적효유소개선，상잔상황지속엄중。결론：신의개병몰유명현개선중국성진거민적건강공평화건강적효，재신의개적목표설치중，촉진건강공평응점유경가중요적위치。
Objective: To analyze the status and general trend of urban residents’ health equity and health performance. Methods:Adopting standardization of concentration index, the extended concentration index and health performance index. Results: Chronic disease and self-assessed health of urban residents in China gradually improved from 2007 to 2011, while disability of those people did not improve significantly. Health inequity exists among urban residents with different incomes. Chronic disease and disability are inclined to the poor while self-assessed health is inclined to the rich, but the unfair degree has decreased gradually by year; the self-assessed health and the health performance of chronic disease has been improved from the comprehensive health level and equity, the disability sustains serious condition. Conclusion: China’s new health care reform does not significantly improve the domestic urban residents’ health equity and health performance, the objective set of the health care reform in China should pay more attention to health equity.
