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目的:测算黑龙江省农村家庭受灾难性卫生支出的影响,以了解贫困地区卫生服务利用的公平性,找出其政策支持的突破点。方法:采用2008年黑龙江省第四次卫生服务调查数据,利用灾难性卫生支出测算方法,测算全部家庭总体和按家庭收入5分组人群的家庭灾难性卫生支出发生率、平均差距和相对差距。结果:灾难性卫生支出发生率以最贫困组为最高、其次为次贫困组和中等收入组,相对差距以次富裕组为最高。结论:黑龙江省农村地区卫生服务利用公平性存在问题,解决的关键在于减少灾难性卫生支出对贫困人群的影响。
Objective: To estimate the impact of disastrous health expenditure on rural families in Heilongjiang Province to understand the fairness of utilization of health services in poor areas and identify the breakthrough point of their policy support. Methods: Using the data of the fourth health service survey in Heilongjiang Province in 2008 and using the method of disastrous health expenditure, the incidence, the average and the relative disastrous rates of catastrophic household disability were calculated based on the overall family income and household income of 5 groups. Results: The incidence of catastrophic health expenditure was the highest in the poorest group, followed by the sub-poorest group and the middle-income group, with the relative gap being highest among the sub-wealthy groups. Conclusion: There is a problem in fairness in the utilization of health services in rural areas of Heilongjiang Province. The key to solve this problem is to reduce the impact of catastrophic health expenditure on poor people.