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目的:探讨江西省不同收入的农民新型农村合作医疗大病统筹基金使用的公平性。方法:采用分层抽样法和类似序贯试验法,调查1208例新型农村合作医疗大病统筹补偿者;用集中指数反映公平性。结果:1 208例5种不同经济状况的新农合居民恩格尔系数、人均住院总费用、人均实际补偿费及大病统筹的实际补偿比有差别,其住院总费用和实际补偿费用的集中指数分别为0.256 1和0.197 8;结论:不同经济状况家庭住院总费用和实际报销费用的集中指数数值不大,公平性基本趋于合理。
Objective: To explore the fairness of the use of the serious illness co-ordinating fund for farmers with different incomes in Jiangxi Province. Methods: Stratified sampling and similar sequential testing were used to investigate the compensation of 1208 cases of new-type rural cooperative medical malpractice; the concentration index was used to reflect the fairness. Results: There were differences in Engel’s coefficient, total cost of per capita hospitalization, actual per capita compensation, and actual compensation ratio of NCMS residents in 5 208 different economic situations. The concentration indices of the total cost of hospitalization and actual compensation were 0.256 1 and 0.197 8; Conclusion: The values of concentration index of family hospitalization expenses and actual reimbursement expenses in different economic situations are not large, and the fairness tends to be reasonable.