政府卫生筹资责任变迁与公共卫生服务均等化研究

Objective: To explore the transformations and changes of health financing responsibility of the government role in Chinese two medical reform. Then we try to research the degree of public health services equalization contains coverage of Medicare, the government health expenditure, health services accessibility and health care resource distribution with empirical analysis. Methods:Use comparative analysis as Theil index, coefficient of variation from different angles to examine the level of equalization of public health services with the Nationnal data from 2003 to 2014. Results: Government finances continues to increase investment in health since the new health care reform and really improved the equalization level of public health expenditure, but Government hadn't guide the distribution of health resources tend to equalization.However,the difference of health care resource distribution in regions still exist. Conclusion: The government should focus on leading distribution of health resources,and implement differential health spending and transfer payments both for different economic types of regional and urban or rural residents.