DOI: 10.7664/CHE20130920
Progressivity Comparison of Health Financing of Cities of East, Middle and West of China：Based on Urban Residential Health Interview Survey of Typical Cities under Community Health Comprehensive Reform
Abstract：Objective: To compare the progressivity of four health financing resources of tax, social medical insurance, commercial health insurance and out of pocket health payment(OOP)of cities of east, middle and west parts of China. Methods: With data collected through household health interview survey in 2011, adopt scaling method to analyze the distribution of the four financing approaches of cities of different parts , and calculate the Concentration Index ( CI ) and Kakwani index . Results: The differences of social medical insurance, commercial health insurance and OOP in different economic families of eastern, central and western cities didn ’ t have statistical significance (χ2social medical insurance =3.697, P=0.883; χ2commercial health insurance=11.349, P=0.183; χ2oop=4.146, P=0.844), but there is significant difference of direct tax, and the east was better than the middle. As a whole, direct tax, social medical insurance and commercial health insurance were progressive, but indirect tax was regressive. OOP was regressive in the east, but it was progressive in cities of the middle and west parts. Conclusion: To exert the function of tax in financing equity, perfect the social medical insurance system and improve the accessibility of health services.
Keywords：community health servicecities of eastsmiddle and western parts of Chinahealth financingprogressivity
Publication Date：2013-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 69-71 )