三个层面的居民医疗费用负担测量指标及其政策涵义.pdfVIP

《中国卫生经济》第32卷第3期f总第361期)2013年3月 口政策研究 三个层面的居民医疗费用负担测量指标及其政策涵义 匡 莉① 摘要从地区层面、人群层面和个体层面理顺居民医疗费用负担测量指标。透过计算公式揭示其蕴藏的政策涵义。提 供思考路径。结果表明，减轻居民医疗费用负担过重应从两条路径思考。一是从社会宏观着手。增加个人财富在国民收入中 的份额。提高居民可支配收入总额；减少整个社会居民问贫富差距。二是从卫生体系着手。实施以公共资金为主要筹资来源 的卫生筹资战略。提高公共筹资对重点人群补助的针对性。加强卫生体系整体效率．通过主动购买方式．为居民购买健康需 要的医疗服务。 关键词居民医疗费用负担；测■指标；卫生筹资：公平性 DOl 中图分类号R1-9：F014．4文献标识码A文章编号1003-0743(2013)03-0008-03 Three—IevelIndicatorsforMeasurementofResidents’BurdenofMedicaI andTheirPotentiaI Expenses Policy L洲ChineseHealth Implications，KUANG Economics．2013．32(3)：8—10 AbstractTo a for article summarizesthemeasurementofresidents’burdenof supplythinkingpathwaypolicyanalysis，the medical fromthe andindividual revealstheindicators expensesseparatelydistrict，populadonlevel，and potentialpolicyimplications．In ordertoreducethemedical burdenof canbe the macro shareof expenses residents，twopaths taken．Firstly，fromperspective，the wealthinthenationalincomeshouldbeincreasedandthe betweenrichand in be t11e personal gap poorsociety health fundsasthemainsourcesof health shouldbe systemperspective，public financingfinancingstrategies implemented，andpublic forthe beenhanced．’nleoverall of health should the be the fundingsubsidy targetedgroup efiqciency system through improved positive purchasing． wordsresidentmedical burden；measurementindicator；,health Key