基于均等化的产后保健服务利用评价研究  

Evaluation on Utilization of Postpartum Health Service Based on Equalization

作　　者：于贞杰[1] 刘相瑜[1] 李向云[1] 姜海涛[1] 汤敏[1] 

机构地区：[1]潍坊医学院管理学院,山东省潍坊市261053

出　　处：《中国全科医学》2013年第34期4037-4040,共4页Chinese General Practice

基　　金：教育部人文社科青年基金(09YJCZH096)

摘　　要：目的了解产妇产后保健服务利用情况,并评价其利用公平性。方法于2010年8月—2011年9月,采取多阶段随机抽样的方法,在全国根据地域抽取了3个省(山东、河南和甘肃)共2 021人进行现场问卷调查,内容包括个人基本情况、家庭成员、收入等信息,以及产后保健服务利用情况。产后保健服务的指标包括产后保健指导率、产后访视率、产后健康检查率及填卡率。利用集中曲线、集中指数等进行公平性评价。结果产后保健指导率为52.75%(1 026/1 945),产后7 d访视率为20.00%(389/1 945),产后14 d访视率为29.77%(579/1 945),产后28d访视率为23.24%(452/1 945),产后42 d健康检查率为47.15%(917/1 945),填卡率为35.32%(687/1 945)。经计算得出,产后保健服务综合利用率为39.88%。城市产妇产后保健服务各项目利用率均高于农村,差异有统计学意义(P<0.05)。不同收入及不同文化水平的产妇产后保健服务利用的集中曲线均在绝对公平线之下。结论产妇产后保健服务利用不足且存在不公平现象,产后保健服务利用向高收入和高文化水平的人群倾斜。应加强产后保健工作,关注农村产妇,特别要将产妇中的低收入和低文化程度人群作为关注重点,提高其服务利用公平性。Objective To investigate the utilization of postpartum health service and evaluate the equity of its utiliza- tion. Methods A total of 2 021 participants from Shandong, Henan and Gansu were selected through multi - stage random sam- piing from August 2010 to September 2011. Questionnaire covering demographic information, family members, incomes, and the information on the utilization of postpartum health service was administrated. The indicators of postpartum health service included the rates of postpartum care guidance, postpartum visits, postpartum physical examination, and the utilization of their health management cards; and the concentration curve and index were used to do equity evaluation. Results The rates of postpartum care guidance, 7 -day postpartum visit, 14 -day postpartum visit, 28 -day postpartum visit, 42 -day postpartum physical ex- amination, and the utilization of their health management cards were 52. 75% （1 026/1 945 ）, 20.00% （389/1 945 ）, 29.77% （579/1 945）, 23.24% （452/1 945）, 47. 15% （917/1 945）, and 35.32% （687/1 945）, respectively. The comprehensive utilization rate of postpartum health service were 39. 88%. The utilization rates of postpartum health service in urban areas were higher than those in the rural areas （ P 〈 0. 05 ）, and the concentration curves of the utilization of groups with different income and different education levels were all below the absolute equity line. Conclusion The utilization rate of postpartum health service was low; and inequity existed, in which the utilization rate in women with higher income and higher education lev- el was high. Postpartum health services should be strengthened, and focus more on rural women, especially the low - income and low - education groups.

关 键 词：产后保健服务 均等化 利用 

分 类 号：R197[医药卫生—卫生事业管理]