卫生筹资收入再分配效应的实证研究

Empirical study on the redistribution effect of income from healthcare financing

利用中国健康与营养调查(CHNS)2011年数据,运用收入再分配效应(AJL)模型,实证分析了我国城镇和农村地区四种卫生筹资渠道的收入再分配效应,包括垂直公平效应和水平公平效应。实证结果表明:我国城镇和农村卫生筹资系统均未取得良好的收入再分配效果,垂直不公平和水平不公平并存,并以水平不公平为主导。城镇和农村应分别以商业保险筹资和社会医疗保险筹资渠道的改善为侧重点,并共同加强个人支付筹资渠道建设,以提升垂直公平效应和水平公平效应。

Based on the data of China Health and Nutrition Survey （CHNS） in 2011, the redistribution effect of income from four healthcare financing channels in urban and rural China was empirically studied with income redistribution effect model,including vertical and horizontal equal effect. The results showed that healthcare financing system of urban and rural China failed to achieve fine effect of income redistribution, with vertical and horizontal inequity. It is suggested that improvement of financing channels of commercial insurance financing in urban areas, and social medical insurance financing in rural areas should be valued. Both of them need to strengthen the construction of financing channel of individual payment.