摘要
目的:对近年来卫生筹资公平性研究方法的进展进行总结分析。方法:利用文献检索收集国内外有关文献,并进行比较总结。从计算方法、适用范围、所需数据、结果价值、测算维度等方面对目前国内外常用的7种筹资公平性研究方法进行归纳。结果和结论:2000年世界卫生组织(WHO)推出的家庭卫生筹资贡献率(HFC)和筹资公平指数(FFC)计算方法需经调整,方能适用于中国;国内再分配效应(RE)的应用有一定困难,但kakwani指数被广泛采用;灾难性卫生支出家庭分析能部分反映就医风险保护,在我国极为重要,但不能用以反映卫生系统的筹资公平性。
Objective： To review the literatures of methodologies on health financing equity. Methods： Papers of health financing equity published in literature review journals either in Chinese or in English were collected. Methodologies of health financing equity were analyzed through calculation method, limitation, data requirement, out-come categories, measuring view and other methods. Results and condusion： There were about seven methods for health financing equity estimation based on literature review. Health Financing Contribution （HFC） and Fairness of Financing Contribution （ FFC）, introduced by WHO in 2000, should be adjusted in application in China. Redistri-bution Effect （RE） is one of good ways in some researches. However, it＇ s hard to collect the good data in China. Kakwani Index is widely used in health financing. Catastrophic expenditure household analysis can be used to estimate financial protection from health care utilization. However, it is not a good indicator of health financing equity for the health system.
出处
《中国卫生资源》
2012年第4期302-305,共4页
Chinese Health Resources
基金
国家自然科学基金资助项目
项目编号:71073028
关键词
卫生筹资
公平性
风险保护
Health financing
Equity
Risk protection
