摘要
基于宝鸡市三个城镇社区1 235户3 506人的卫生服务问卷调查数据,研究采用收入分组、集中指数等方法,分析评价不同收入水平的城镇居民卫生服务需要、利用的公平性。结果显示,不同收入水平的城镇居民卫生服务需求存在差异,低收入组表现为"高需要、低利用"的特征;疾病经济风险发生率随收入水平的升高而降低,低收入组面临更高疾病风险,承受更重疾病的经济负担;补偿前后的城镇居民的医疗保险对改善住院医疗费用公平性作用有限,卫生服务利用在不同收入水平的城镇居民间存在较大的不公平性。
This paper analyzed the equity of health service utilization with different income groups, based on the survey on the urban residents＇ health service from 1 235 households, 3 506 persons in Baoji City through random sampling with the questionnaires, by the methods of income quintiles, and concentration index. The results show that it exists the differences of the health service utilization among the different income groups; the incidence of disease economic risks are reduced with the increase of income, and the lower group faced more risks, bearing the heavier economic burden of the diseases; it has a limited function to improve the medical expenditure equity of inpatients; the equity of health service utilization for the residents with different income groups exist the bigger differences.
出处
《医学与哲学（A）》
北大核心
2013年第10期54-56,共3页
Medicine & Philosophy:Humanistic & Social Medicine Edition
基金
教育部人文社会科学研究项目"城镇居民基本医疗保险与城镇贫困人群医疗救助制度衔接研究"
项目编号:08JA790099
教育部哲学社会科学研究重大攻关项目"‘病有所医’与中国健康保障系统研究"
项目编号:08JZD0022
关键词
公平性
收入水平
社区居民
卫生服务
equity, income level, urban residents, health service
