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2000年6月世界卫生组织对全球191个成员国进行医疗卫生公平性评价:中国位居尼泊尔、越南之后,排名倒数第四!中国与巴西、缅甸和塞拉利昂等国一起,被列为医疗卫生最不公平的国家!统计显示,约占全国人口的70%的中国农民,只享有33%的全国卫生总费用。而中国卫生资源的80%集中在城市,其中2/3集中在大医院。按1990年不变价格计算,1991年人均政府卫生支农资金为5.71元,2000年为7.95元,年均增长速度仅为1.75%。而1990年到1999年,农民人均门诊费用和住院费用,却分别增长了6.2倍和5.1倍。据调查,目前中国农民基本上是自费医疗。在贫困农村,40～50%的农民由于经济困难应住院而未住院;39%的病例因经济困难自行出院,即使是在富裕农村,这一比例也高达20～25%。
In June 2000, the World Health Organization evaluated the medical and health fairness of 191 member countries around the world: China ranked fourth after Nepal and Vietnam. China, along with Brazil, Myanmar and Sierra Leone, was ranked as the most medical and health care provider. Unfair countries! Statistics show that Chinese farmers, who account for about 70% of the country’s population, only enjoy 33% of the total national health expenditure. And 80% of Chinese health resources are concentrated in cities, of which 2/3 are concentrated in large hospitals. Calculated at 1990 constant prices, the per capita government funding for health support for agriculture was 5.71 yuan in 1991, and 7.95 yuan in 2000, with an average annual growth rate of only 1.75%. From 1990 to 1999, the per capita outpatient expenses and hospitalization expenses of farmers increased by 6.2 times and 5.1 times respectively. According to investigations, at present, Chinese farmers are basically medical care at their own expense. In poverty-stricken rural areas, 40% to 50% of farmers are hospitalized because of financial difficulties and are not hospitalized; 39% of cases are discharged due to financial difficulties. Even in wealthy rural areas, the proportion is as high as 20-25%.