我国居民健康公平性评价及区域差异分析  

Analyzing the equity of health of residents and its regional differences in China

作　　者：韩春蕾[1,2] 郝世超[3] 韩坤[4] 

机构地区：[1]滨州医学院卫生管理学院,山东烟台264003 [2]山东大学经济学院 [3]厦门大学公共卫生学院 [4]中南大学数学与统计学院

出　　处：《中国卫生事业管理》2014年第8期564-566,共3页Chinese Health Service Management

基　　金：全国统计科研计划一般项目"公共卫生服务均等化指标体系及综合评价研究"(编号:2011LY020);山东省社会科学规划研究项目"山东省城乡统筹发展统计监测评价体系及对策研究"(编号:13DJJJ24);山东省统计科研重点研究课题"山东省区域经济增长的空间计量分析及对策研究"(编号:KT12131);烟台市社会科学规划研究项目"烟台市低碳经济发展评价指标体系及实证研究"(编号:2012-JJ-03)

摘　　要：目的:建立适合我国居民健康状况的评价指标体系,了解近期我国31个省份地区的健康水平差异及演变趋势。方法:用因子分析得出健康评价综合指数,用Kruskal-Wallis检验分析地区差异,用聚类分析和统计地图对省份健康状况归类,用标准差表示各地区间健康不公平性的大小。结果:(1)东中西部三大地区之间存在明显的健康不公平性;(2)东部地区省份的健康水平高于中西部地区;(3)东部地区内部健康不公平性远远高于中西部地区;(4)地区间健康公平性差异随时间的改变波动较大。结论:(1)国家应该注重西部地区经济的发展以及居民健康的改善;(2)各省份注重经济发展的同时不能忽略健康的重要性;(3)东部地区内部各省份的健康公平性差距更应该引起重视。(4)新医改政策的持续性需要加强。Objective To establish index system to evaluate the health of residents in China,and study its regional differences and changes.Methods The comprehensive index to evaluate health was obtained by factor analysis.Its regional differences were analyzed with Kruskal-Wallis test.And the equity of health was evaluated by standard deviation.Results There existed nationwide health inequality among different areas.The health status of residents in eastern China was better than that in other places.The inner health inequalities in eastern China were higher than those in other places.And the diversity of health equality was fluctuated with time in different areas.Conclusion The status of residents＇ health should be valued as well as economic development.The inner health inequalities in eastern China should be paid attention to.And new medical reform needs to be strengthened.

关 键 词：健康公平性 指标体系 因子分析 聚类分析 

分 类 号：R193[医药卫生—卫生事业管理]