陕西省新型农村合作医疗参合农民住院受益公平性分析

Analysis on the benefit equity of hospitalization under New Rural Cooperative Medical Scheme in Shaanxi Province

目的:分析新农合制度下陕西省农村参合农民住院服务利用受益情况。方法:主要采用集中指数和五分位分组法评价参合农民住院受益的绝对公平程度。结果:不同经济水平村参合农民补偿人次和补偿费用的集中指数分别为0.142和0.094,不同经济水平参合农民补偿人次和补偿费用的集中指数分别为0.253和0.355。结论:新农合制度下陕西省参合农民住院受益存在不公平现象,这种不公平程度在按照家庭经济指标分组比较时更加明显,但总体而言,不公平程度并不大。

Objective： Analyze the participating farmers＇ benefit of hospitalization services utilization from New Rural Cooperative Medical Scheme in rural areas of Shaanxi Province. Method： Apply concentration index and quintile group method to evaluate the absolute equity of hospitalization among participating farmers. Results ： The compensatory person-times concentration index and the compensatory expense concentration index of the participating farmers which were divided in terms of economic levels in villages are 0. 142 and 0. 094. The compensatory person-times concentration index and the compensatory expense concentration index of the participating farmers which were divided by the economic levels of their family are 0. 253 and 0. 355. Conclusions： There is inequity of the hospitalization benefit in the participating farmers under New Rural Cooperative Medical Scheme in Shaanxi Province. Higher inequity estimates obtained with the family-based economic index. But overall, the degree of inequity is not significant.