山东省三地家庭卫生筹资公平性探讨

doi:10.6040/j.issn.1671-7554.0.2020.0680

摘要/Abstract

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

范嘉音,赵迪,郭磊,贾莉英. 山东省三地家庭卫生筹资公平性探讨[J]. 山东大学学报 (医学版), 2020, 1(9): 89-94.

FAN Jiayin, ZHAO Di, GUO Lei, JIA Liying. Health financing fairness of households in three regions of Shandong Province[J]. Journal of Shandong University (Health Sciences), 2020, 1(9): 89-94.

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