我国基本医疗保障制度受益公平性分析

Analyzing the Benefit Equity in China’s Basic Health Insurance System

目的:评估不同收入参保居民从城镇职工医保和新农合中受益的公平性。方法:利用陕西省第四次卫生服务调查的家庭入户调查数据,采用卫生服务间接标准化方法和集中指数法测算受益率和受益程度的水平不公平指数。结果:城镇职工医保的受益率和受益程度水平不公平指数分别为0.052 4和0.002 5;新农合的受益率和受益程度水平不公平指数分别为0.231 2和0.322 8。结论:城镇职工医保的受益公平性较好,而新农合的受益率和受益程度均存在有利于富人的不公平性。

Objective： To analyze the equity of benefit which residents with different income get from Urban Employee Medical Insurance （UEMI） and New Rural Cooperative Medical System （NCMS）. Methods： Data used in this study is based on the forth household health service survey in Shanxi province. The indirectly standardization method and concentration index were employed to analyze the horizontal inequity index of benefit rate and benefit degree. Results： The horizontal inequity index of benefit rate and benefit degree in UEMI are 0.0524 and 0.0025, and the horizontal inequity index of benefit rate and benefit degree in NCMS are 0.2312 and 0.3228. Conclusion： The urban residents get the equal benefit from UEM, and there were pro-rich horizontal inequities of benefit rate and benefit degree in NCMS.