政府医疗机构补助的受益归属案例分析

Case Analysis on Benefit Incidence of Government Medical Subsidy

以浙江省为例,运用受益归属分析方法从绝对公平和相对公平两个角度评价政府医疗机构补助分布的公平性;从绝对公平角度看,各种群体中政府医疗机构补助分布的公平性均较差,其中男性优于女性,儿童优于老年人,门诊补助优于住院补助;从相对公平角度看,门诊补助在各种群体中的分布较好,而住院补助的分布较差。应逐步将政府医疗机构补助的重点向贫困与弱势人群转移,流向基层医疗机构,以不断提高贫困及弱势人群对卫生服务利用的可及性,从而提高政府医疗机构补助分布的公平性和目标效率。

The Benefit Incidence Analysis （BIA） was applied to analyze the distribution and equity of the government subsidy for hospitals of Zhejiang province. From the absolute fairness perspective, the subsidy for public medical institutions was all lack of equity, the variations between different groups of patients showed that male, children and inpatients were more subsidized than female, the eiders and the out-patients. From the relative fairness perspective, the subsidies for in-patients were better than the out-patients in every group. There was some distance between the practical result and the ideal objective. The real beneficiary was not the poor but the better-off. In order to improve the equity of government subsidy, we should adjust the direction of the subsidy and its focus, as well as improving the accessibility of the health services for the poor and vulnerable groups.