| This paper adopted the data of 2011-2016 of China Health and Family Planning Yearbook and the three-year data of China Health and Pension Tracking Survey in 2011,2013 and 2015,using the Tyre index method from both macro and micro perspectives.The indicators were selected to analyze the fairness of China's health protection.At the macro level of health protection,based on the availability of health care hardware resources,the accessibility of health care talent resources,and the criteria for selecting nationally recognized health outcome indicators,the number of health care institutions per 1,000 population,the number of health technicians in each locality,and per capita expectations were Life expectancy,infants,children under 5 years old and maternal mortality rate were the macro-level evaluation indicators;at the micro level of health protection,the evaluation indicators were selected based on the criteria of health care distance accessibility and health protection economic accessibility,and finally selected the last time you selected How much is the one-way transportation cost to the medical institution,and the proportion of hospitalization and hospitalization due to economic difficulties was the evaluation index of the microscopic status.On March 17,2009,with the continuous advancement of the deepening medical system,the fairness of urban and rural health protection was improved,and the gap between urban and rural areas generally showed a trend of shrinking.Through the Theil index method,the results of the study could be observed.First,based on the perspective of medical resource allocation,the Thai index of health technicians selected in this paper was increasing year by year,and the value of the Thail index was 0.0871 liters in 2011.To 0.1013 in 2016.The gap between urban and rural areas was gradually expanding,indicating that the allocation of medical service personnel may lack certain fairness between urban and rural areas.According to the results,the analysis was because the outflow of primary health care technicians was greater than the inflow,and the level of education and technical titles of health technicians in township medical institutions was generally low,and it was impossible to stably retain medical technicians with high academic qualifications or high professional titles.The Taier index of the number of beds per 1,000 medical institutions had decreased year by year.The 2016 Tyre index was 0.0682.The urban-rural gap had been shrinking year by year,and the fairness of medical service resources had increased year by year.Second,according to the internationally recognized health results,the metrics were selected andanalyzed by the Theil index.The life expectancy,infant mortality,maternal mortality,and under-five mortality rate in the 2011-2016 Tyre index were found.The value was in a downward trend.Among them,the Tyre index of maternal mortality was the smallest,which symbolizes that the level of health protection in China was already high.These four indicators represented the health status of the vulnerable groups,that was,the most easy to reflect the current level of health protection in China.It could be concluded that China's health protection level had been continuously improved and was at the forefront of developing countries.According to the “China Health and Pension Tracking Survey” for the three years of 2011,2013 and 2015,using the Theil index analysis method,based on the personal experience of the micro-individuals and the family,and the ability to bear the medical expenses,the selected economy The proportion of hospitalizations that were difficult to be hospitalized and the one-way transportation cost of the last time you went to a medical institution.According to the analysis of the Theil index,the Tyre index of the proportion of hospitalizations that were in need of hospitalization due to financial difficulties was decreasing.The index hasd been reduced from 0.0537 to 0.0428,and the urban-rural gap had gradually narrowed.The overall gap had mainly shifted from the urban-rural gap to the intra-group gap,that was,the urban internal gap and the rural internal gap,and the fairness of the medical security system had gradually improved.The one-way transportation cost of your last visit to a medical institution.The Tyre index of this indicator had been decreasing year by year.Body Theil index fell to 0.0297 from the 0.0458,narrowing the gap between urban and rural areas,from investigating individual,family resource allocation and safeguard mechanisms reflected the indirect health care more perfect."Everyone had access to basic medical and health services" had basically been realized.Today,we should combine China's health protection development strategy with fairness as the norm to achieve "a high level of health protection for everyone."... |
PDF Full Text Request