Analysis the Equity of Health Financing in Typical Areas of West China

doi:10.7664/CHE20171218

Abstract：Objective:To analyze the equity and its change of health financing in the western China.Methods:Based on the data from the Resident Family Health Survey in the western typical regions of China primary health comprehensive health reform in 2013 and 2015,the direct tax and indirect tax of consumption expenditure were calculated by combining the various consumption expenditure tax rates of each province in the relevant year of China Statistical Yearbook;the direct tax,indirect tax,social health insurance,commercial health insurance,out-of-picket health expenditure payment and Kakwani index were calculated to reflect the equity of 5 health financing channels.Results:The concentration index of direct tax,indirect tax,social medical insurance,commercial health insurance and cash health expenditure in the west typical areas in 2016 were 0.615,0.366,0.285,0.423 and 0.262.Kakwani index were 0.256,0.007,-0.074,0.064 and-0.097.Compared with 2014,direct tax and commercial health insurance concentration index increased by 0.120 and 0.118,cash health expenditure decreased by 0.028;direct tax and the commercial health insurance Kakwani index increased by 0.106 and 0.104,cash health expenditure decreased by 0.042,other financing concentration index and Kakwani index changes were not obvious.Conclusion:The equity of health financing in the typical areas of western China were improved.The progressive degree of the direct tax and commercial health insurance were further increased,which were beneficial to the poor.The equitv of out of pocket was well.