我国妇幼保健服务公平性现状研究  

Study on the status of equity of maternal and child health care service in China

作　　者：刘欣宇[1] 张宜民 李妍婷 梁鸿[1] 刘姗姗 

机构地区：[1]复旦大学社会发展与公共政策学院,上海200433 [2]上海市浦东卫生发展研究院,上海200129

出　　处：《中国妇幼保健》2016年第12期2411-2414,共4页Maternal and Child Health Care of China

基　　金：国家自然科学基金(71403171);WHO项目<我国妇幼健康服务公平性评估研究>(2014/449871-0);上海市浦东新区卫生和计划生育委员会学科带头人计划(PWRd2014-13);上海市浦东新区卫生和计划生育委员会优秀青年培养项目(PWRd2015-01)

摘　　要：目的分析2013年我国妇幼保健服务的公平性及存在的问题,探讨其主要成因。方法利用差值法计算各类妇幼保健服务的绝对差异;利用比值法计算各类妇幼保健服务的相对差异。结果婚前及生殖健康服务的地区差异高于城乡差异,输卵管绝育数和输精管绝育数的地区差异较大;孕产妇及儿童保健服务指标城乡比较公平程度较高,剖宫产率的地区间差异较高。结论我国妇幼保健的大多数服务指标较为公平,但生殖保健类指标不公平程度较高,并且健康服务指标地区差异较大,建议重点关注地区及生殖保健类指标的不公平问题。Objective To analyze the equity and existing problems of maternal and child health care service in China, explore the main causes. Methods Difference method was used to calculate the absolute difference of a variety of maternal and child health care service ; ra- tio method was used to calculate the relative difference of a variety of maternal and child health care service. Results The regional differ- ences of premarital and reproductive health service were higher than the differences between urban and rural areas ; the regional differences of numbers of sexual tubal sterilization and vasectomy were high; the equal degrees of maternal and child health care service indexes between rual and urban areas were high; the regional difference of cesarean section rate was high. Conclusion The most indexes of maternal and child health care service in China are equal, but the inequal degrees of reproductive health care are high, and the regional differences of health service indexes are higher; more attention should be paid to inequity of regional and reproductive health care indexes.

关 键 词：妇幼保健服务 健康公平 城乡 

分 类 号：R197.1[医药卫生—卫生事业管理]