Equity in health financing of Guangxi after China’s universal health coverage: evidence based on health expenditure comparison in rural Guangxi Zhuang autonomous region from 2009 to 2013

Table 2 Decomposition of Redistributive Effect of Health Care Financing System

Quintiles of per capita consumption, gross	Per capita consumption, gross		Tax		Social insurance contributions		Out of pocket money		Total payments
Quintiles of per capita consumption, gross	2009	2013	2009	2013	2009	2013	2009	2013	2009	2013
Lowest quintile	4.4	6.5	5.0	6.4	18.9	17.4	8.7	9.7	11.3	11.5
2	9.1	11.7	9.7	11.6	18.5	17.7	13.3	18.0	14.1	16.1
3	14.6	16.7	14.6	17.0	20.6	20.1	14.5	20.8	16.7	19.5
4	23.8	22.9	23.4	22.6	21.5	21.0	20.8	24.0	21.8	22.5
Highest quintile	48.1	42.2	47.4	42.4	20.5	23.9	42.7	27.4	36.1	30.5
Total	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0	100.0
Payments as fraction of Income (g)	1.0000	1.0000	0.0992	0.0697	0.1241	0.0872	0.1241	0.0872	0.3474	0.2441
Kakwani index assuming horizontal equity (Ke)	0.0000	0.0000	−0.0135	0.0013	−0.3416	−0.1988	−0.1067	−0.1706	−0.1000	−0.1359
Vertical effect (V)	0.4371	0.3535	−0.0015	0.0001	−0.0484	−0.0190	−0.0151	−0.0163	−0.0532	−0.0439
Horizontal inequality (H)	−0.0008	−0.0011	0.0001	0.0000	0.0107	0.0090	0.0024	0.0018	0.0519	0.0115
Reranking (R)	0.0000	0.0000	−0.0001	0.0000	−0.0157	−0.0038	−0.0055	0.0019	−0.0482	−0.0057
Total redistributive effect (RE = V - H - R)	0.4379	0.3546	−0.0015	0.0000	−0.0434	−0.0242	−0.0120	−0.0199	−0.0569	−0.0497
V / RE	0.9981	0.9968	0.9619	1.9321	1.1160	0.7857	1.2637	0.8175	0.9354	0.8835
H / RE	−0.0019	−0.0032	−0.0886	0.8764	−0.2472	−0.3704	−0.2002	−0.0882	−0.9113	−0.2311
R / RE	0.0000	0.0000	0.0505	0.0557	0.3632	0.1561	0.4638	−0.0943	0.8467	0.1146

ISSN: 1475-9276