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目的:了解新疆维吾尔自治区政府医疗机构补助在城乡不同经济群体间的分布,评价补助分布的公平性。方法:运用受益归属分析方法测算补助的五分组受益、集中指数和Kakwani指数。结果:城乡门诊补助、住院补助和总补助集中指数均为正值,Kakwani指数均为负值;门诊补助集中指数城市0.143小于农村0.234,住院补助集中指数农村0.165小于城市0.177。结论:我区城乡政府医疗机构补助分布不公平,均未向贫困人群倾斜,但相对经济水平而言补助均缩小了社会相对贫富差距;城市门诊补助公平性好于农村,农村住院补助公平性好于城市。
Objective: To understand the distribution of subsidies of government medical institutions in Xinjiang Uygur Autonomous Region between different economic groups in urban and rural areas and to evaluate the fairness of distribution of subsidies. Methods: The benefit-attribution method was used to measure the sub-group benefit, the concentration index and the Kakwani index. Results: The outpatient subsidy, inpatient subsidy and total subsidy concentration index in urban and rural areas were all positive, while the Kakwani index was negative. Outpatient subsidy concentration index city 0.143 was smaller than that in rural area 0.234, and inpatient subsidy concentration index 0.165 in rural area was lower than that in city 0.177. Conclusion: The distribution of subsidies for medical institutions in urban and rural areas in our district is not fair, and none of them is inclined to the poor, but the subsidies have narrowed the gap between the relative rich and the poor in relative economic level. The fairness of outpatient subsidies in urban areas is better than that in rural areas. Better than the city.