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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0.034 5,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。
Objective: To measure and analyze the equity of health financing system in a province. Methods: According to the system framework of health financing fair, using the data of the fourth household health service survey in a province to analyze the fairness of health financing in the province from the three dimensions of equity financing, equity distribution and financing risk protection. Results: The Kakwani index of general health financing in a certain province was 0.034 5. The health fund raising was progressive, but there was a problem that the proportion of public financing was not high and the level of medical security was different among different groups. The distribution of government subsidies benefited the affluent population and low-income people Fewer; 18.32% of families in the province had catastrophic health expenditures corresponding to the equity and equity of the situation, and 3.67% of them fell into poverty because of their medical expenses. Conclusion: A province needs further improvement in terms of financing risk protection.