摘要
目的分析评价山东省基本公共卫生服务项目利用的均等化程度。方法主要利用集中指数分析基本公共卫生服务项目间利用的公平程度，结合泰尔指数评价基本公共卫生服务项目利用的公平程度受地区间差异的影响程度。结果不同经济收入分组居民健康档案服务、健康教育服务、老年人健康管理、高血压健康管理、糖尿病健康管理、孕产妇健康管理、预防接种和儿童健康管理服务利用的集中指数分别为-0．0192、-0．0110、0．0258、-0．0080、-0．0064、0．0371、0．0450和0．1067。进一步利用泰尔指数测算显示健康档案和健康管理服务利用的不公平主要受地区间差异的影响；老年人健康管理、高血压健康管理和2型糖尿病健康管理服务、预防接种和儿童健康管理服务利用的不公平主要受城乡内部差异的影响；孕产妇健康管理服务城乡利用的不公平主要受城乡间差异的影响。结论基本公共卫生服务各项目间的利用率不同，且人群倾向差异显著。基本公共卫生服务各项目间利用存在地区分化现象，其公平性受不同差异影响。
Objective To analyze and evaluate the level of equity of essential public health services utilization in Shandong Province. Methods The main methods in use were the concentration index（CI） aided by Theil index, to assess the equity among various items of essential public health services. Results The CI of healthcare archiving, health education, elderly health management, hypertension health management, diabetes management, maternal health management, vaccination and child health management utilization between different income groups were -0. 019 2,-0. 011 0, 0. 025 8, -0. 008 0, -0. 006 4, 0. 037 1, 0. 045 0 and 0. 106 7 respectively. Theil index demonstrated the inequity in healthcare archiving and health management service utilization in Shandong resulted from regional differences. The inequity in elderly health management, hypertension health, diabetes management, vaccination and child health management utilization in Shandong resulted from urban and rural differences. The inequity in maternal health management utilization in Shandong resulted from urban and rural differences. Conclusions The utilization rate of essential public health services is different among the items,and its equity is influenced by the above-mentioned differences.
出处
《中华医院管理杂志》
北大核心
2016年第3期221-225,共5页
Chinese Journal of Hospital Administration
基金
教育部人文社会科学研究（14YJAZHl01）
山东省自然科学基金（ZR2013GL006）
关键词
基本公共卫生服务
利用
均等化
泰尔指数
集中指数
Essential public health services
Utilization
Equity
Theil index
Concentration index
