西南民族大学学报（人文社科版）

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(1)Haddad.S&Mhindra.K在“Access,opportunities and communities:ingredients for health equity in the South”一文中指出:“Access is defined as the opportunity to reach and obtain appropriate health care services in situations of perceived need for care．”即可及性是指感知到需求时能够达到和获得合适的医疗卫生服务的机会。

(2)Levesque.J.F(2013)等将供给系统(包括提供者、服务组织、供给制度等)特征整合为五个方面:可接近、可接受、可获得、可支付和适合性;将需求系统(主要指个体、家庭和社区)特征整合为:感知服务需求的能力、搜索服务的能力、获得服务的能力、支付能力和参与能力。供给和需求系统的特征同时作用于医疗卫生服务可及性的产生。

(3)“自我医疗是指农民工在生病后不去医疗机构就医，而是买药及性能自我治疗的就医选择”．具体参见:周钦、秦雪征、袁燕《农民工的实际医疗服务可及性---基于北京市农民工的专项调研》，《保险研究》，2013年第9期。

(4)疾病和残疾导致了人的正常物种功能(normal species founctioning)的损害，从而限制了个人才能和技能的发挥，进而影响到他在整个社会中获得发展的机会。如果正常范围内的公平份额是一个人可以理性地选择的人生计划系列(array of life plans)，那么疾病和残疾将会减少他的公平份额．具体参见:Daniels N.Just health care.New York:Cambridge University Press,1985:41.