CAJ | 학술논문

目的:评价我国城镇居民住院服务利用的公平性,探究城镇居民基本医疗保险对住院服务利用公平性的影响.方法:集中指数标准化和分解方法.结果:2007—2010年,我国城镇居民应住院未住院次数的均值总体上呈下降趋势;该指标的标准化集中指数分别为-0.195、-0.218、-0.160、-0.212,差异在1%水平上显著,说明住院服务利用不公平状况依然存在,穷人更容易出现应住院未住院的情况.个人收入和城镇居民基本医疗保险是促进住院服务利用公平性的两个主要因素.结论:城镇居民基本医疗保险对改善住院服务利用公平性的作用重要但是有限,应综合改革卫生服务的筹资和提供体系,保障居民促进健康和获得医疗的基本权益.
목적:평개아국성진거민주원복무이용적공평성,탐구성진거민기본의료보험대주원복무이용공평성적영향.방법:집중지수표준화화분해방법.결과:2007—2010년,아국성진거민응주원미주원차수적균치총체상정하강추세;해지표적표준화집중지수분별위-0.195、-0.218、-0.160、-0.212,차이재1%수평상현저,설명주원복무이용불공평상황의연존재,궁인경용역출현응주원미주원적정황.개인수입화성진거민기본의료보험시촉진주원복무이용공평성적량개주요인소.결론:성진거민기본의료보험대개선주원복무이용공평성적작용중요단시유한,응종합개혁위생복무적주자화제공체계,보장거민촉진건강화획득의료적기본권익.
Objective: To evaluate the equity in hospitalized service utilization among China’s urban residents to discuss the influence of urban resident basic medical insurance on equity of hospitalized service utilization. Methods: Using standardization and decomposition of concentration index. Results: Results show that the average number of need-but-not hospitalization of urban residents form 2007 to 2010 was declining in a downward trend. The corresponding standardization concentration indexes were 0.195, -0.218, -0.160 and -0.212. Statistics differences were significant on 1% level. This fact indicates that the inequity still existed in hospitalized service utilization and the poor were more likely to miss necessary inpatient services. Personal income and urban resident basic medical insurance were two major factors that could improve the equity in hospitalized service utilization. Conclusion: The paper argued that urban resident basic medical insurance has essential effects on the equity of hospitalized service utilization. Yet, the effectiveness of the issue was limited. In order to guarantee people’s basic right of improving health and access to medical services, it is suggested that a comprehensive reform, including financial and delivery system of health services, should be carried out.