在医疗保险体制转型过程中,一度产生严重的公平问题。本文建立了一个筹资公平性的分析框架,从医保体系覆盖面、卫生筹资负担方面分析了广州市医保体系的公平性问题,指出广州市已经建立一个比较健全的医保体系,但在城乡公平性和卫生总费用负担的公平性方面还有很大的提升空间,需要加大财政投入,控制卫生总费用上涨并提高卫生总费用在各医疗卫生机构间的配置效率。
<<During the process of Medical Insurance System reforming,there was a period when sever health inequity exists in China. This paper constructs a framework for analyzing financing equality. It studies the equality issue of Guangzhou’s Medical Insurance System from the perspectives of coverage and financing burden. It argues that the medical insurance system in Guangzhou is an integral one. Yet,the fairness between urban and rural area and the burden of total health expenditure still needs to be improved. Increased financial input is needed to control the increasing health expenditure. The government should also improve the efficiency of health cost allocation among various medical institutions.
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