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山东大学学报 (医学版) ›› 2020, Vol. 58 ›› Issue (6): 115-120.doi: 10.6040/j.issn.1671-7554.0.2020.382

• 公共卫生与管理学 • 上一篇    

医保一体化背景下山东省城乡居民健康的公平性

郭磊,赵迪,范嘉音,贾莉英   

  1. 山东大学医药卫生管理学院, 国家卫生健康委员会卫生经济与政策研究重点实验室, 山东大学卫生管理与政策研究中心山东省重点新型智库, 山东 济南 250012
  • 发布日期:2022-09-27
  • 通讯作者: 贾莉英. E-mail:lyjia@sdu.edu.cn
  • 基金资助:
    山东省社会科学规划研究(18CZKJ22)

Health equity of urban and rural residents in Shandong Province under the background of medical insurance integration

GUO Lei, ZHAO Di, FAN Jiayin, JIA Liying   

  1. School of Health Care Management, Shandong University;
    Key Laboratory of Health Economics and Policy Research of National Health Commission of the Peoples Republic of China;
    New Key Think Tank of Shandong University Health Management and Policy Research Center, Jinan 250012, Shandong, China
  • Published:2022-09-27

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摘要： 目的 分析医保一体化背景下山东省城乡居民健康公平性,发现存在问题,为提高城乡居民的生命质量和改善健康公平性问题提供建议。 方法 运用欧洲五维健康量表法(EQ-5D-5L)和集中指数法对山东省城乡居民的健康状况及其公平性进行分析。 结果 不同的婚姻状态、文化程度、收入水平和就业情况下的城乡居民呈现出不同的健康状况和公平性。两周患病、慢性病患病的整体集中指数分别为 -0.076和-0.130,主要集中在收入水平较低的人群中,而低收入人群中多为农村居民。 结论 城乡居民的整体健康状况存在差异,与农村居民相比,城市居民的总体健康水平更高;但城市居民的健康不公平相对于农村居民差异较大。需要进一步完善城乡居民基本医疗保险制度。

关键词: 医疗保险, 一体化, 健康公平性, 集中指数

Abstract: Objective To analyze the health equity of urban and rural residents in Shandong Province, findout the problems, and provide suggestions for improving the life quality and health equity in the background of medical insurance integration. Methods The health status and equity of urban and rural residents in Shandong Province were analyzed using EQ-5D-5L scale and concentration index method. Results Residents with different marital status, educational level, income level and employment status had different health status and health equity. The overall concentration index of two-week illnesses and chronic diseases was -0.076 and -0.130, respectively, which mainly distributed among people with low income level, especially rural residents. Conclusion There is significant difference in the overall health status between urban and rural residents. Urban residents have higher overall health status than rural residents, but also greater health inequality. The basic medical insurance system remains to be improved.

Key words: Medical insurance, Integration, Health equity, Concentration index

中图分类号: 

  • R19
[1] 官海静, 刘国恩, 熊先军. 我国城镇居民的健康公平和健康绩效[J]. 中国卫生经济, 2013, 32(9):33-37. GUAN Haijing, LIU Guoen, XIONG Xianjun. Health equity and health performance of urban residents in China[J]. Chinese Health Economics, 2013, 32(9):33-37.
[2] 梁维萍, 郑建中, 韩颖, 等. 健康与卫生保健的公平性及其测量方法评介[J]. 中国农村卫生事业管理, 2007, 27(10):742-744. DENG Weiping, ZHENG Jianzhong, HAN Ying, et al. Health and equity in health care and evaluation of its measurement methods[J]. Chinese Rural Health Service Administration, 2007,27(10):742-744.
[3] 高建民, 杨金娟. 健康公平性概述[J]. 卫生经济研究, 2014,27(10):51-54. GAO Jianmin, YANG Jinjuan. Overview of health equity[J]. Health Economics Research, 2014,27(10):51-54.
[4] 邢颖, 汤榕, 孙玉凤, 等. 统筹城乡居民基本医疗保险制度下的宁夏居民健康公平性分析研究[J]. 中国卫生产业, 2016,13(31):1-3. XING Ying, TANG Rong, SUN Yufeng, et al. An analysis of the health equity of Ningxia Residents under the basic medical insurance system for urban and rural residents[J]. Chinese Health Industry,2016,13(31):1-3.
[5] 山东省人民政府. 山东省人民政府关于建立居民基本医疗保险制度的意见[EB/OL].(2013-12-31)[2020-02-04]. http://www.shandong.gov.cn/art/2013/12/31/art_2267_18052.html.
[6] 中华人民共和国国家卫生和计划生育委员会. 国务院印发《关于整合城乡居民基本医疗保险制度的意见》[J]. 就业与保障,2016,15(Z1):20.
[7] 徐书贤. 把健康融入所有政策——“健康中国2030”规划纲要出台[J]. 中国医院院长,2016,3(22):30-31. XU Shuxian. Integrate health into all policies—“The outline of the healthy China 2030 plan”[J]. Director of Chinese Hospital,2016,3(22):30-31.
[8] 雷鹏, 徐玲, 段成钢, 等. 健康公平性评价与健康指标选择问题探析[J]. 医学与社会,2010,23(12):40-42. LEI Peng, XU Ling, DUAN Chenggang, et al. Health equity evaluation and health index selection[J]. Medicine and Society,2010,23(12):40-42.
[9] 邢亚彬, 马爱霞. EQ-5D-5L中文版应用介绍[J]. 现代商贸工业,2013,25(1):177-179. XING Yabin, MA Aixia. Application introduction of EQ-5D-5L Chinese version[J]. Modern Commercial Industry,2013,25(1):177-179.
[10] 刘柳. 欧洲五维健康量表EQ-5D-3L与EQ-5D-5L的比较研究[D]. 济南: 山东大学,2018.
[11] Luo N, Liu G, Li M, et al. Estimating an EQ-5D-5L value set for China[J]. Value Health, 2017, 20(4):662-669.
[12] Yfantopoulos JN, Chantzaras AE. Validation and comparison of the psychometric properties of the EQ-5D-3L and EQ-5D-5L instruments in Greece[J]. Eur J Health Econ, 2017,18(4):519-531.
[13] 叶慧, 刘玢彤. 不同收入等级农村居民基本医疗保险受益公平性研究——基于湖北省少数民族贫困县的调查[J]. 社会保障研究,2020,10(1):23-32. YE Hui, LIU Fentong. Research on the equity of benefit of basic medical insurance for rural residents with different income levels—based on the investigation of minority poverty counties in Hubei province[J]. Social Security Research, 2020, 10(1):23-32.
[14] 吴燕, 徐勇. 不同收入老年人健康状况公平性分析[J]. 中国公共卫生, 2012, 28(1):4-6. WU Yan, XU Yong. Equity analysis of health status of the elderly with different incomes[J]. Public Health in China, 2012, 28(1):4-6.
[15] 王艳. 健康不公平性问题的测量方法[J]. 中国卫生经济, 2001, 1(5):40-42. WANG Yan. Measuring methods of health unfairness[J]. Chinese Health Economics, 2001, 1(5):40-42.
[16] 梁峥嵘, 陈祥华, 于贞杰, 等. 基于集中指数和泰尔指数评价山东省妇幼保健资源分布及儿童健康公平性[J]. 中国卫生统计, 2015, 32(2):231-234. LIANG Zhengrong, CHEN Xianghua, YU Zhenjie, et al. Evaluation of the distribution of maternal and child health resources and the equity of children's health in Shandong province based on the concentration index and theil index[J]. Chinese Journal of Health Statistics, 2015, 32(2):231-234.
[17] 韩春蕾, 郝世超, 韩坤. 我国居民健康公平性评价及区域差异分析[J]. 中国卫生事业管理, 2014, 31(8):564-566. HAN Chunlei, HAO Shichao, HAN Kun. Evaluation of equity in health of Chinese residents and analysis of regional differences[J]. Chinese Health Service Management, 2014, 31(8):564-566.
[18] 吉珂, 周王艳, 陈家应. 我国农村地区老年人生命质量调查与分析[J]. 中国卫生政策研究,2011,4(5):47-53. JI Ke, ZHOU Wangyan, CHEN Jiaying. Investigation and analysis of life quality of elderly people in rural areas of China[J]. Chinese Health Policy, 2011, 4(5):47-53.
[19] 谢婧, 施学忠, 李颍琰, 等. 河南省农村居民生命质量及影响因素分析[J]. 中国公共卫生, 2004, 10(2):85-87. XIE Jing, SHI Xuezhong, LI Yingyan, et al. Analysis on the quality of life and its influencing factors of rural residents in Henan province[J]. Public Health in China, 2004, 10(2):85-87.
[20] 孟庆跃, 焦岩, 于保荣, 等. 山东、宁夏新型农村合作医疗不同收入人群受益分布研究[J]. 中国卫生经济, 2008, 15(11):41-43. MENG Qingyue, JIAO Yan, YU Baorong, et al. Study on the distribution of benefits of new rural cooperative medical care in different income groups in Shandong and Ningxia[J]. Chinese Health Economics, 2008, 15(11):41-43.
[21] 陈定湾, 何凡. 不同社会阶层的健康公平性研究[J]. 中国卫生经济, 2006, 12(8):17-19. CHEN Dingwan, HE Fan. Research on health equity in different social classes[J]. Chinese Health Economics, 2006, 12(8):17-19.
[22] 李翠翠. 山东省农村居民健康相关生命质量及影响因素研究[D]. 济南:山东大学, 2016.
[23] 施云涛, 任伟明. 宁夏永宁县社区居民健康认知与健康行为现状及其影响因素分析[J]. 中国卫生统计, 2014, 31(5):860-862. SHI Yuntao, REN Weiming. Health cognition and health behavior of community residents in Yongning County, Ningxia, and analysis of its influencing factors[J]. Chinese Journal of Health Statistics, 2014, 31(5):860-862.
[24] 张丽. 山东三县农村居民生命质量及其影响因素研究[D]. 济南:山东大学, 2014.
[25] 高红. 昆明市某社区居民健康公平性及其影响因素的现状研究[D]. 昆明:昆明医科大学, 2016.
[26] 余莉, 胡琦, 李相荣, 等. 郑州市居民基本医疗保险不同参保人群健康公平性研究[J]. 中国初级卫生保健, 2018, 32(8):1-3. YU Li, HU Qi, LI Xiangrong, et al. Study on the health equity of different population insured by Zhengzhou residents basic medical insurance[J]. Chinese Primary Health Care, 2018, 32(8):1-3.
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