新型农村合作医疗实施后我国农村卫生筹资公平性研究

Research on Equity of Health Financing in Rural Areas of China after the Implementation of New Rural Cooperative Medical System

目的:测量我国在实施新型农村合作医疗后农村卫生筹资公平性现状。方法:通过现场调查收集2012年浙江、甘肃、重庆3个样本地区4 295户家庭的卫生服务利用及卫生筹资信息,并利用家庭卫生筹资贡献率(Health Financing Contribution,HFC)及家庭卫生筹资公平性指数(Fairness of Financial contribution,FFC)测量家庭卫生筹资公平性。结果:我国农村家庭卫生筹资贡献率为0.195,FFC水平为0.774,比2000年略有改善,但东西部地区间有明显差别。结论:我国农村卫生筹资公平性虽有改善,但总体水平相对较低,地区差异较大。

Objective：To measure the fairness of health financing in rural areas of China after implementing new rural cooperative medical system（NCMS）.Methods：Through field investigation, the date of health service utilization and health financing of 4 295 families in three sample areas of Zhejiang, Gansu and Chongqing in 2012 were collected. Health Financing Contribution（HFC） and Fairness of Financial Contribution（FFC） were used to estimate the equity of family health financing.Result：The HFC of rural families in China was 0.195, and FFC was 0.774, which was improved compared with 2000. However, the differences between eastern areas and western areas varied obviously.Conclusions：There was improvement in the equity of health financing after NCMS, however, the total level was relatively low and differences among areas were large.