摘要
目的评价江西省新型农村合作医疗大病统筹基金的利用效率和公平性。方法采用统计描述、比较分析、基尼系数方法等进行分析等。结果山西省娄烦、榆社县新农村合作医疗补偿比分别为23.5%和31.33%,后者通过2次补偿,有效补偿比达到41.04%。基金收支基本平衡。疾病负担最重的群体获得了最多(48.7%)的补偿费用,但疾病经济负担依然最重。农民住院率由3.9%提高到4.3%。补偿后的大病户家庭收入分配基尼系数由0.454降为0.372。结论新型农村合作医疗大病统筹基金补偿效率较高,一定程度上体现了补偿的垂直公平,但需要改进方案进一步降低弱势群体的疾病经济负担。
Objective To evaluate the efficiency and equity of NCMS＇s fund in Jiangxi province. Methods Statistic description, comparion analysis and Gini coefficient were involved in the study. Results The compensate propotion of NC- MS was 23.57% and 31.33% in Yushe and Loufan county,respectively,and it reached to 41.04% by re-compensation. Revenus and expenditure of the fund were basically balanced. The participants suffering the heaviest disease got the most compensation（48. 7% ） from NCMS,but they were still with the heaviest economic burden. The rate of hospitalization for countryman improved from 3.9% to 4. 3% ,the income Gini coffecient of the patients＇families fell from 0. 454 to 0. 372. Conclusion The efficency of NCMS fund is high, and vertical equity of the compensation could be observed. But the project should be improved so as to reduce the disease burden of the disadvantage participants.
出处
《中国公共卫生》
CAS
CSCD
北大核心
2009年第4期400-401,共2页
Chinese Journal of Public Health
基金
山西省卫生厅卫生VIII支持项目(H8/SP)
山西医科大学校青年基金项目(200519)
关键词
新型农村合作医疗
统筹基金
收支平衡
new rural cooperative medical system
insurance fund
balance of payments
