Journal of Shandong University (Health Sciences) ›› 2020, Vol. 58 ›› Issue (9): 89-94.doi: 10.6040/j.issn.1671-7554.0.2020.0680

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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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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

CLC Number: 

  • R197.1
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