陕西省农村地区卫生筹资累进性研究

Research of Progressivity of Health Financing in Rural Areas of Shaanxi Province

目的:探究陕西省农村地区不同筹资方式的累进性。方法:利用微观和宏观数据,采用集中曲线、Kakwani指数等,比较不同筹资方式的累进性。结果:税收公平性较好,现金卫生支出公平性较差,新农合传统的固定数额的筹资方式不具有公平性,总卫生筹资略微累退。结论:改变新农合传统筹资方式,提高补偿水平,减少低收入人群现金卫生支出,改变累退筹资现状,逐步改善卫生筹资公平性。

Objective： To explore the progressivity of health financing in rural areas of Shaanxi Province. Methods： Comparing the progressivity of all the health financing methods by using concentration curve and Kakwani indices with the macro and micro data. Results： The tax is progressive and it has vertical equity, however, the OOP is regressive and needs to be improved on vertical equity. The traditional financing method of NRCMS is strongly regressive and total health financing is also slightly regressive. Conclusion： The government should change the traditional financing method of NRCMS and improve the compensation level. Besides, it is important to reduce OOP of low-income groups to change the regressive financing methods and gradually improve the equity of health financing.