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目的:分析内蒙古自治区居民个人现金卫生支出变化情况,以及城镇和农村居民医疗经济负担情况。方法:利用2007—2013年内蒙古自治区卫生总费用研究结果,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,通过不同年份间的纵向对比分析,城镇与农村对比,与全国水平横向对比,分析内蒙古自治区居民个人现金卫生支出。结果:内蒙古自治区人均现金卫生支出、个人现金卫生支出占卫生总费用的比重均高于全国水平;城镇与农村居民之间医疗经济负担存在明显不公平。结论:优化内蒙古自治区卫生总费用筹资结构,合理构建政府、社会和个人三方的筹资比例;逐步减轻城乡之间医疗经济负担的不公平性。
Objective: To analyze the changes of personal cash health expenditures in Inner Mongolia Autonomous Region, as well as the medical and economic burdens of urban residents and rural residents. Methods: Using the research result of the total health expenditure in Inner Mongolia Autonomous Region from 2007 to 2013, the per capita cash health expenditures and per capita cash health expenditures as a percentage of annual income were calculated. By contrasting the vertical analysis of different years, comparing the urban and rural areas, comparing with the national average , Analysis of personal cash health expenditure of residents in Inner Mongolia Autonomous Region. Results: Inner Mongolia Autonomous Region per capita cash health expenditure, personal cash health expenditure accounted for the proportion of total health costs were higher than the national level; the medical and economic burden between urban and rural residents there is obviously unfair. Conclusion: Optimizing the fundraising structure of total health expenditure in Inner Mongolia Autonomous Region, rationally building the proportion of financing for the tripartite government, society and individuals; and gradually reducing the unfairness of medical and economic burdens between urban and rural areas.