不同医疗保险覆盖人群获得政府医疗补助的受益归属及公平性研究

发布时间：2018-01-25 05:11

本文关键词： 保险健康医疗补助受益归属分析公平性　出处：《中国全科医学》2016年22期 　论文类型：期刊论文

【摘要】：目的了解不同医疗保险(医保)覆盖人群获得政府医疗补助的受益归属及公平性。方法于2014年6月,在"2014年基层卫生综合改革重点联系点家庭健康询问调查"人群中选取参加了城镇职工医保(n=5 773)、城镇居民医保(n=6 581)、新型农村合作医疗(新农合,n=9 495)的居民21 849例。按经济水平从低到高分为最贫困组(n=4 370)、次贫困组(n=4 370)、中间组(n=4 370)、次富裕组(n=4 370)及最富裕组(n=4 369),采用集中指数、Kakwani指数评价政府医疗补助的绝对公平程度和相对公平程度。结果从最贫困组到最富裕组,城镇职工医保居民的门诊补助占比分别为7.1%、12.4%、16.5%、22.7%、41.3%,住院补助占比分别为7.9%、12.7%、16.7%、24.3%、38.5%;城镇居民医保居民的门诊补助占比分别为26.9%、18.5%、15.1%、12.8%、26.8%,住院补助占比分别为16.8%、14.4%、23.6%、18.5%、26.7%;新农合居民的门诊补助占比分别为13.5%、14.5%、19.0%、25.1%、28.0%,住院补助占比分别为16.0%、16.2%、14.4%、26.5%、27.0%。城镇职工医保、城镇居民医保及新农合居民门诊补助的集中指数分别为0.260、0.076、-0.021,住院补助的集中指数分别为0.098、0.221、0.175。城镇职工医保、城镇居民医保及新农合居民门诊补助的Kakwani指数分别为-0.060、-0.265、-0.331,住院补助的Kakwani指数分别为-0.222、-0.120、-0.135。结论不同医保覆盖人群的政府医疗补助均有利于低收入人群,新医改制度下居民获得基层门诊政府补助更加公平可及。
[Abstract]:Objective to understand the benefit ownership and fairness of people with different coverage of medical insurance (Medicare) in receiving Medicaid from the government. Methods in June 2014. In 2014, the survey of family health in the key contact points of primary health comprehensive reform was carried out among the people who participated in the medical insurance of urban workers and staff, and the urban residents' medical insurance was 6581). 21,849 residents of the new rural cooperative medical system (NCMS 9 495). According to the economic level from low to high as the poorest group of 4370). The second poverty group was 4370, the middle group was 43 70, the second rich group was nong 43 70) and the richest group was 4 369%. The concentration index was adopted. The Kakwani index evaluates the absolute and relative fairness of government Medicaid. Results from the poorest group to the richest group, the proportion of outpatient benefit for urban workers' medical insurance residents was 7.1% respectively. 12.4 the proportion of the allowance for hospitalization was 7.9 and 12.7and 16.7and 24.38.5respectively. The proportion of outpatient assistance for residents of urban health insurance is 26.9and 18.50.15.1and 12.80.The proportion of in-patient allowance is 14.4percent, respectively. 23.6and 18.5and 26.7; The proportion of outpatient assistance to NCMS residents was 13.50.14.5and 19.00.25.0% and 28.0% respectively, and the proportion of in-patient allowance was 16.0% or 16.2% respectively. The concentration index of medical insurance for urban workers, medical insurance for urban residents and the outpatient assistance for new NCMS residents are 0.260, 0.076 and 0.021, respectively. The concentration index of hospitalization allowance was 0.0980.221 / 0.175 respectively. The Kakwani index of medical insurance for urban residents and the outpatient assistance for NCMS residents were -0.060 ~ -0.265 and 0.331, respectively. The Kakwani index of hospitalization benefit is -0.222 ~ -0.120 ~ (-1) ~ 0.135 respectively. Conclusion the government Medicaid of different medical insurance coverage is beneficial to low-income people. Under the new medical reform system, it is more equitable for residents to receive government subsidies at the grass-roots outpatient clinics.
【作者单位】：石河子大学医学院预防医学系;国家卫生计生委卫生发展研究中心;
【分类号】：R197.1;F842.684
【正文快照】： 作者单位:832002新疆维吾尔自治区石河子市,石河子大学医学院预防医学系(周杨,唐景霞,陈英);国家卫生计生委卫生发展研究中心(秦江梅,张丽芳,张艳春)Benefit Incidence and Equity of Government Medical Subsidy Received by People Under Different Health InsuranceZHOU Ya

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