作　　者： ; ;

机构地区： 暨南大学医学院

出　　处： 《中国卫生事业管理》 2009年第12期796-797,801,共3页

摘　　要： 目的:分析2008年广州市政府医疗机构补助在不同经济水平人群中的分布并评价补助受益的公平性。方法:主要利用广州市2008年家庭卫生服务调查资料,运用受益归属分析方法分析人群获得政府医疗机构补助的情况。结果:从绝对公平角度分析,门诊补助、住院补助及医疗总补助的分布均向富裕人群倾斜;其中,20%最富裕人群获得42.7%住院补助而40%贫困人群仅享有19.8%,其集中指数为0.36,提示住院补助的公平性较差。从相对公平角度分析,门诊补助公平性较好,而住院补助分布情况与人群经济水平分布一致,没有很好的发挥缩小贫富差距的作用。健康脆弱人群中65岁及以上老龄人口住院补助Kakwan i指数为正值说明相对公平性较差。结论:政府医疗补助应向农村倾斜,加强基层建设,针对贫弱人群。 Objective：To analyze the distribution of the government subsidy to medical institutions within different economic groups in Guangzhou in 2008, and evaluate its equity. Methods ： Data from National Health Household Interview Survey （ NHHIS ） of Guangzhou in 2008 was used and studied by Benefit Incidence Analysis. Results ： In view of absolute equity, the rich people tended to have more outpatient subsidy, inpatient subsidy and total subsidy. The richest people （20% of all ） had 42. 7% of inpatient subsidy but the poor people （40% of all） had only 19.8%. The concentration index was 0. 36, which suggested the poor equity of inpatient subsidy. In view of relative equity, the equity of outpatient subsidy was better than that of inpatient. And inpatient subsidy did not fully play a role to bridge the gap between rich and poor. The Kakwani index of inpatient subsidy for the aged （ above 64 years old ） was positive, which meant the equity was poor. Conclusion ： More medical subsidy from the government should be put into strengthening rural infrastructures, and more attention should be paid to the poor and vulnerable people.

关 键 词： 政府医疗机构补助 受益分布 公平性

领　　域： [经济管理]