2002年浙江省政府医疗机构补助的受益归属分析

Benefit Incidence Analysis of Government Medical Subsidy in Zhejiang Province in 2002

目的测算浙江省政府医疗机构补助在不同经济群体间的分布,评价政府医疗机构补助分布的公平程度。方法利用浙江省2003年家庭卫生服务调查等数据,运用受益归属分析(Benefit Incidence Analysis,BIA)方法来评价浙江省政府医疗机构补助分布的公平性和目标效率。结果从绝对公平角度看,无论门诊补助、住院补助还是总补助都是贫困人群获得得少,而富裕人群获得得多,各种补助分布的绝对公平性均较差;从相对公平角度看,门诊补助分布的相对公平性较好,而住院补助分布的相对公平性较差。结论浙江省政府医疗机构补助效果与理想的目标还有一定距离,补助的主要受益者不是穷人而是富人。

Objective To measure the distribution of the government subsidy among different economic groups in Zhejiang Province, and estimate their equity. Methods Used the data of National Health Service Survey of Zhejiang Province in 2003 and the Benefit Incidence Analysis （BIA）. Results From the absolute equity side, either the in-patient and outpatient or total subsidy, the absolute equity of subsidies was bad; From the relative equity side, the relative equity of the in-patient subsidies was good, but the out-patient subsidy was bad, Conclusion There was some distance between the practical result and the ideal objective.The real beneficiary was not the poor but the better-off.