卫生筹资公平性及其影响因素分析：以陕西省B市为例

目的:评价B市卫生筹资总体公平性程度,比较不同筹资方式的公平性,探寻影响家庭发生灾难性支出的主要因素.方法:卫生筹资公平性指数法、卫生筹资累进性分析方法、家庭灾难性卫生支出及Logistic回归分析.结果:(1)B市中低收入家庭组的总体公平性程度较差. (2)税收、社会保险、现金支付方式3种卫生筹资方式都表现出累进性. (3)家庭老龄人口数、家庭收入、家庭支出以及现金卫生支出是影响家庭灾难性支出发生与否的主要因素.结论:(1)扩大社会医疗保险覆盖面、为灾难性支出家庭设立专项医疗救助基金. (2)加强政府在卫生筹资中的主导作用,拓宽卫生筹资渠道.

Research on Health Financing Fairness and Its Influencing Factors

Objective: To evaluate the fairness degree in B City,to compare the fairness among different financing,and to search the influencing factors of family catastrophic health spending.Methods: Using FFC index,progressive analysis,family catastrophic health spending and Logistic binary regression analysis method.Results:(1)The overall fairness in low in B City income families is poor.(2)The three major fund-raising means including tax revenue,social insurance and cash payment,are progressive.(3)The main influenc...