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山东大学学报 (医学版) ›› 2020, Vol. 58 ›› Issue (9): 89-94.doi: 10.6040/j.issn.1671-7554.0.2020.0680

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山东省三地家庭卫生筹资公平性探讨

范嘉音1,2,赵迪1,2,郭磊1,2,贾莉英1,2   

  1. 1. 山东大学齐鲁医学院公共卫生学院卫生管理与政策研究中心, 山东 济南 250012;2. 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), 山东 济南 250012
  • 出版日期:2020-09-10 发布日期:2020-08-30
  • 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 financing fairness of households in three regions of Shandong Province

FAN Jiayin1,2, ZHAO Di1,2, GUO Lei1,2, JIA Liying1,2   

  1. 1. Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan 250012, Shandong, China;
    2. NHC Key Lab of Health Economics and Policy Research(Shandong University), Jinan 250012, Shandong, China
  • Online:2020-09-10 Published:2020-08-30

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摘要： 目的 在医保一体化背景下,探讨家庭卫生筹资公平性差异及影响公平性的因素,并提出相关建议。 方法 对山东省齐河、济阳和即墨的城乡居民入户调查获取数据,利用泰尔指数、基尼系数、集中系数和Kakwani指数进行公平性评价,并通过单因素卡方检验和多因素有序Logistic回归模型对其影响因素分析。 结果 三地城乡之间家庭卫生筹资公平性存在一定差距,城市(Kakwani指数=0.32)优于农村(Kakwani指数=0.20),地区、性别、年龄、婚姻状况、文化程度、工作状况可能是相关影响因素。 结论 医保一体化能够缩小城乡差距,统一医保待遇,因此可以进一步深化该项政策,保障卫生筹资公平性。

关键词: 医保, 一体化, 卫生筹资, 公平性, 影响因素

Abstract: Objective To explore the differences in health financing fairness of households and the influencing factors in the context of medical insurance integration, and to put forward relevant recommendations. Methods Urban and rural households in Qihe, Jiyang, and Jimo of Shandong Province were interviewed, and the health financing fairness was evaluated with the Theil index, Gini coefficient, concentration coefficient and Kakwani index. The influencing factors were determined with single-factor chi-square test and multivariate ordered Logistic regression analysis. Results There was a gap in health financing fairness between urban and rural households in the three regions, and urban households had higher health financing fairness than rural households(Kakwani index: 0.32 vs 0.20). Region, gender, age, marital status, educational level and work status were the influencing factors. Conclusion The medical insurance integration can narrow the urban-rural gap and unify medical benefits, so this policy can be further deepened to ensure the fairness of health financing.

Key words: Medical insurance, Integration, Health financing, Fairness, Influencing factor

中图分类号: 

  • R197.1
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