CAJ | 학술논문

目的:测量和分析某省卫生筹资系统公平性.方法:根据卫生筹资公平系统框架,利用某省第四次家庭卫生服务调查数据从卫生资金筹集公平、资金分配公平和筹资风险保护3个维度简要分析该省卫生筹资公平性状况.结果:某省综合卫生筹资Kakwani指数为0.0345,卫生资金筹集具有累进性,但存在公共筹资比重不高、不同人群医疗保障水平存在差异的问题;政府补助分布向富裕人群倾斜,低收入人群受益较少;与筹资和受益公平状况相对应,该省18.32%的家庭发生灾难性卫生支出,3.67%的人因为就医花费陷入贫困.结论:某省在筹资风险保护方面需要进一步改善.
목적:측량화분석모성위생주자계통공평성.방법:근거위생주자공평계통광가,이용모성제사차가정위생복무조사수거종위생자금주집공평、자금분배공평화주자풍험보호3개유도간요분석해성위생주자공평성상황.결과:모성종합위생주자Kakwani지수위0.0345,위생자금주집구유루진성,단존재공공주자비중불고、불동인군의료보장수평존재차이적문제;정부보조분포향부유인군경사,저수입인군수익교소;여주자화수익공평상황상대응,해성18.32%적가정발생재난성위생지출,3.67%적인인위취의화비함입빈곤.결론:모성재주자풍험보호방면수요진일보개선.
Objective:To measure and analyze the equity of health financing system in a province. Methods:Analyzing the status of health financing equity in a province under the systematic framework of health financing equity. Equity in health financing, allocation equity and financial risk protection were analyzed using related quantitative methods based on the 4th Household Health Survey data. Results: The Kakwani Index for overall health financing is 0.034 5 indicating a progressive financing, but there are differences in the level of health security among different population groups at different economic levels as well as relative low share of public finance;more government subsidy was allocated to richer people and the low-income people benefit lower; the catastrophic payment headcount was 18.32% and 3.67% the patients were pushed into poverty due to out-of-pocket payment. Conclusion: Financial risk protection should be further improved in a province.