新型农村合作医疗制度公平性研究-人口与经济.PDF

2009 5 No.5, 2009 (176 ) POPULATION ECONOMICS (Tot.No.176) ———以广东省为例 1 1 2 1 申曙光, 孙　健 , 刘　巧, 周　坚 (1. , 　510275;2., 　528000) 　:本文运用广东省2004～ 2007 年的新型农村合作医疗数据, 采用基尼 数、 集中指数、 卡瓦尼 指数, 测算和分析了广东省新农合制度的筹资与受益的公平性。 结果显示, 参加合作医疗农民的 个人 筹资存在较大不公平性, 门诊补偿的公平性优于住院补偿, 政府的筹资可以有利于增进新农合的筹资 和收益公平。 研究认为, 通过调整筹资结构, 重设补偿标准, 改善财政补贴模式都将显著改善新农合 的制度公平性, 这具有很强的政策指导意义。 :新型农村合作医疗制度;公平;集中指数;卡瓦尼指数 :R197　　:A　　:1000-4149 (2009)05-0084-07 A Research on Equity of New Rural Cooperative Medical Care System:Take Guangdong rovince for example 1 1 2 1 SHEN Shu-gua g , SUN Jia , LIU Qiao , ZHOU Jia (1.Li g a (U iversity )College, Su yat-se U iversity, Gua gzhou 510275, Chi a; 2.Fosha Sub-Bra ch of CITICBANK, Gua gzhou 528000, Chi a) Abstract:Usi g the data from 2004 to 2007, applyi g Gi i Coefficie t, Co ce tratio I dex a d Kakwa i I dex.The fi a ci g a d equity of the ew rural cooperative mecidal care system of Gua gdo g Provi ce is calculated a d a alysed.The result shows that the i dividual fi a ci g of the famerswho participate the system is quite u fair, while the policli ic compe satio is fairer tha that of hospitalizatio compe satio .Fi a ci g by the gover me t will help improve equity of the system.The research shows that the equity of the system ca be substa tially improved through adjusti g fi a ci g structure, re-regulati g compe satio sta dards a d improvi g fiscal subsidy modes, which will provide stro g policy guida ce. Keywords:ew rural cooperative medical care system;equity;Co ce tratio i dex;Kakawa i i dices 、 2002 ( “”), , , 。, , :? :2009-04-03 : (07JA8