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中文摘要: 目的 以不同参保人群为研究对象，分析评价居民健康状况及公平性，寻找存在的问题和不足，为政府和相关部门进一步深化医疗体制改革、完善现有医疗保险制度提供理论依据。 方法 运用集中指数法对不同参保人群的健康状况进行公平性分析评价。 结果 整体人群的两周患病及慢性病患病的集中指数分别为-0.018、0.056。不同参保人群在不同收入水平分层下的健康公平存在差异，两周患病集中指数分别为-0.031、-0.057和0.080，慢性病患病集中指数分别为-0.010、0.013和0.093。结论 两周患病主要集中在收入水平较低的人群中，而慢性病患病主要集中在收入水平较高的人群中，城镇职工医保人群的健康不公平性差异较大。
Abstract:Objective In different insured participants as the research object,the health status and fairness of the residents were analyzed, and find the existing problems and shortcomings, in order to provide theoretical basis for the government and relevant departments to further deepen the reform of the medical system and improve the existing medical insurance system. Methods The health equity of different insured participants in ZhengZhou was analyzed and evaluated by the concentration index. The concentration indexes of two-week morbidity and morbidity of chronic diseases of the whole population were respectively -0.182 and 0.557. There were differences in health equity between different insured participants under different income levels, and the concentration indexes of two-week morbidity were respectively -0.308, -0.571 and 0.801, the concentration indexes of morbidity of chronic diseases were respectively 0.101, 0.125 and 0.933. Conclusion .The two-week morbidity mainly concentrates on the population with lower income, but the morbidity of chronic diseases mainly concentrates on the population with higher income, and the difference of health unfairness of participants with employee basic medical insurance is bigger compared with two other insurance populations.
keywords: essential medical insurance different insured participants health equity the concentration index
文章编号：3201808001 中图分类号：R197 文献标志码：
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