摘要
目的:分析中国城镇居民的健康水平、公平和健康绩效的现况和趋势。方法:标准化集中指数、扩展集中指数和健康绩效指数。结果:2007-2011年,中国城镇居民的慢性病和自评健康状况逐年好转,伤残状况变化不明显;不同收入的城镇居民之间存在健康不公平,慢性病和伤残倾向于穷人,自评健康倾向于富人,但是自评健康的不公平程度呈现逐年下降的趋势;综合健康水平和公平来看,自评健康和慢性病的健康绩效有所改善,伤残状况持续严重。结论:新医改并没有明显改善中国城镇居民的健康公平和健康绩效,在新医改的目标设置中,促进健康公平应占有更加重要的位置。
Objective： To analyze the status and general trend of urban residents’ health equity and health performance. Methods：Adopting standardization of concentration index, the extended concentration index and health performance index. Results： Chronic disease and self-assessed health of urban residents in China gradually improved from 2007 to 2011, while disability of those people did not improve significantly. Health inequity exists among urban residents with different incomes. Chronic disease and disability are inclined to the poor while self-assessed health is inclined to the rich, but the unfair degree has decreased gradually by year; the self-assessed health and the health performance of chronic disease has been improved from the comprehensive health level and equity, the disability sustains serious condition. Conclusion： China’s new health care reform does not significantly improve the domestic urban residents’ health equity and health performance, the objective set of the health care reform in China should pay more attention to health equity.
出处
《中国卫生经济》
北大核心
2013年第9期33-37,共5页
Chinese Health Economics
关键词
健康公平
健康绩效
集中指数
health equity
health performance
concentration index
作者简介
官海静（1987-），男，硕士学位；研究方向：卫生经济和政策、药物经济学；E—mail：guanhaijing_1@163．com。
通讯作者：刘国恩。E-mail：ggliupku@gmail．com。
