Is equity being sacrificed? Willingness and ability to pay for schistosomiasis control in China
Is equity being sacrificed? Willingness and ability to pay for schistosomiasis control in China
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DOI：
10.1093/heapol/16.3.292
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发表时间：
2001-09-01
影响因子：
3.2
通讯作者：
Chen, Y
中科院分区：
文献类型：
--
作者：
Yu, DB;Manderson, L;Chen, Y
中国卫生保健系统的权力下放导致各级业务对创收的需求与日俱增，无论是医疗服务还是公共卫生方案。总的来说，人们已经接受了治疗服务的费用，尽管收费对求医行为的影响还有待评估。然而，公共卫生方案在创收方面存在特殊问题，因为这些活动对个人健康和福祉的直接影响较小。在这篇文章中，我们报告了一项关于血吸虫病控制意愿和支付能力的横断面研究结果。问卷调查对象是湖南省洞庭湖区6个有代表性的村庄的户主中国。本研究共回收有效问卷628份。年平均家庭血吸虫病诊疗支出59.5元+/-146.04元(1美元=8元人民币)，占家庭年收入的0.94%。大多数户主(514人，82%)认为血吸虫病是社区最大的健康威胁，但只有30.9%的人愿意为血吸虫病的筛查、诊断和治疗买单。另一方面，72.3%的受访者愿意为控制而从事志愿者工作。
Decentralization of the health care system in China has led to an increasing need for income generation at all operational levels, both for curative services and for public health programmes. In general, people have accepted the costs of curative services, although the impact of charges on health-seeking behaviour has yet to be assessed. Public health programmes present particular problems in terms of revenue generation, however, because of the less direct impact of these activities on individual health and well-being. In this paper, we report the results of a cross-sectional study of willingness and ability to pay for schistosomiasis control. Questionnaires were administered to household heads of six representative villages in the Dongting Lake Region of Hunan Province, China. A total of 628 valid questionnaires were analyzed. The yearly mean household expenditure on schistosomiasis diagnosis and treatment was RMB 59.50 +/- 146.04 Yuan (US$1 = 8 RMB Yuan), accounting for 0.94% of the total yearly household income. Most household heads (514, 82%) thought schistosomiasis was the greatest health threat in their communities, but only 30.9% of them were willing to pay for screening, diagnosis and treatment of the infection. On the other hand, 72.3% of the respondents were willing to undertake volunteer work for control.