基于基尼系数和泰尔指数的我国医保公平性研究.pdfVIP

管理改革评论 医学与哲学 2016 年 12 月第 37 卷第 12A 期总第 562 期 基于基尼系数和泰尔指数的我国医保公平性研究骨 李华业① 胡西辱① 王雪蝶① 霍向明① 摘要:基于基尼系数和泰尔指数的研究方法，以城镇职工医疗保险基金人均支出为评价指标，对我国城镇职工医疗保险的 公平性进行评价。结果显示.2007 年-2013 年我国城镇职工医疗保险总体上呈现较公平状态，但各省份之间的差距有所 扩大;其中，中部地区各省份之间职工医疗保险的公平性优于东部和西部地区;但中部地区职工医疗保险基金人均支出水 平低于东部和西部地区。今后我国应逐步提升中部地区各省份的医疗保险待遇水平，同时改进东部地区和西部地区的区 域公平性，进而促进我国医疗保险制度的公平可持续发展。 关键词:医疗保险，公平性，基尼系数，泰尔指数 申图分类号:R197 文献标识码:A 文章编号:1002--0772(2016)12一0059 一04 DOI: 10. 12014/j. issn. 1002--0772.2016. 12a. 16 Rωearch on Faimess of China Medical Insurance Bωed on the Gini Coefficient and Theil Index LI Hua-ye. HU Xi-hou. WANG Xu e-die. etal. Schoolof Public Health and Management. BinzhouMedical University. Yantai 264003. China Abstract: Based on the Gini coefficient and Theil index. it evaluated the fairness of medical insurance for urban workers. by choosing the per capita expenditure of medical insurance funds as the indicator. The results showed that medical insurance for urban workers in China was generally fair from 2007 to 2013. but the gap between every province had expanded. The fairness of medical insurance for urban workers in the central region was better than that of the eastern and western regions. but the per capita expenditure of medical insurance funds in the central region was lower than that in the eastern and western regions. In the future. China should gradually promote the level of medical insurance of the central region. while improving the regional fairness of the eastern and western regions. in order to promote sound and sustainable development of medical insurance system. Key Words:medical