上海市徐汇区孕产保健服务利用公平性及影响因素分析  

Analysis on equity and influencing factors of maternal health service utilization in Xuhui district of Shanghai city

作　　者：田园[1] 谢静宜[2] 钱序[2] 玄泽亮 王克利 

机构地区：[1]上海市儿童医院.上海市儿童保健所,200040 [2]复旦大学公共卫生学院妇幼卫生教研室 [3]上海市徐汇区卫生局

出　　处：《中国妇幼保健》2013年第15期2349-2353,共5页Maternal and Child Health Care of China

基　　金：复旦大学研究生创新基金资助项目〔1YF201038〕;"上海市公共卫生重点学科建设计划"的资助

摘　　要：目的:调查和分析上海市徐汇区户籍和非户籍孕产妇保健服务利用的公平性及其影响因素。方法:在该区13个社区卫生服务中心开展问卷调查,采用率比和率差部分评价两类孕产妇对保健服务利用的公平性,采用Logistic回归分析服务利用的影响因素。结果:户籍和非户籍孕产妇产时服务利用的公平性最好,不公平主要体现在产前保健服务的启动时间和服务利用的质量上。影响孕产妇对保健服务利用的主要因素是户籍、学历和生育保险。结论:改善孕产保健服务公平性的重点应当放在产前保健服务的环节,而生育保险制度的改革对有效推动孕产保健服务利用公平性将发挥积极的作用。Objective： To investigate and analyze the equity and influencing factors of maternal health service utilization in Xuhui district of Shanghai city. Methods ： The equity and influencing factors of maternal health service utilization among pregnant women of regis- tered permanent residence and non - registered permanent residence in Xuhui district of Shanghai city were investigated and analyzed. Re- sults： The equity of maternal health service utilization among pregnant women of registered permanent residence and non - registered perma- nent residence was the best, the main manifestations of inequity were initial time of prenatal health service and quality of service utilization. The main influencing factors of maternal health service utilization were registered permanent residence, education background, and maternity insurance. Condusion： The key point to improve equity of maternal health service utilization is prenatal health service, the childbirth insur- ance system reform may play an active role in effectively promoting equity of maternal health service utilization.

关 键 词：孕产保健 服务利用 公平性 影响因素 

分 类 号：R17[医药卫生—妇幼卫生保健]