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目的:对比分析陕西省新医改实施前后6年内,城镇和农村居民人均现金卫生支出的变化情况。方法:利用2007—2012年陕西省卫生总费用来源法数据,计算人均现金卫生支出、人均现金卫生支出占年收入的比重等指标,通过不同年份间的纵向比较,比较分析人均现金卫生支出的变化情况。结果:陕西省2009年新医改实施当年,人均现金卫生支出明显降低,但新医改施行第二年该指标恢复到新医改前水平,并呈继续增长趋势;且城镇和农村居民之间医疗经济负担存在明显不公平,农村高于城镇。结论:陕西省卫生总费用个人现金卫生支出比例有待改善,新医改的实施力度需要加强,城镇和农村居民的医疗经济负担不公平性需要改善。
Objective: To compare and analyze the changes of per capita cash health expenditures of urban and rural residents within 6 years before and after the implementation of new medical reform in Shaanxi Province. Methods: According to the data of source of health expenditure in Shaanxi Province from 2007 to 2012, the per capita cash health expenditure and the proportion of per capita cash health expenditure to annual income were calculated. Through the longitudinal comparison between different years, the change of per capita cash health expenditure was comparatively analyzed Happening. Results: In the year of implementation of new medical reform in Shaanxi Province in 2009, the per capita cash health expenditure was significantly reduced, but the indicator reverted to the level before the new medical reform in the second year after the implementation of the new medical reform and continued to increase; and the medical and economic burdens of urban residents and rural residents There is obviously unfair existence in rural areas over town. Conclusion: The proportion of health expenditure on personal cash in total expenditure on health in Shaanxi Province needs to be improved. The implementation of new medical reform needs to be strengthened. The unfair medical and healthcare needs of urban and rural residents need to be improved.