不同收入分层视角下居民卫生服务利用的公平性分析  

Analysis on Citizens' Health Service Utilization Fairness at Different Income Levels

作　　者：李相荣 汤榕 LI Xiang-rong;TANG Rong(Public Health and Management College,Ningxia Medical University,Yinchuan,750004,China)

机构地区：[1]宁夏医科大学公共卫生与管理学院,银川750004

出　　处：《中国初级卫生保健》2018年第9期1-3,共3页Chinese Primary Health Care

基　　金：国家社会科学基金:城乡基本医疗保障一体化制度构架下不同人群的健康公平性研究(15BGL188)

摘　　要：目的分析宁夏银川市居民卫生服务利用及其公平性,为促进不同收入水平下居民的卫生服务利用公平性提供政策建议。方法采用分层随机抽样的方法,入户问卷调查18岁及以上的银川市居民。应用频数与构成比的方法描述被调查居民的一般情况。运用两周患病率、慢性病患病率、两周就诊率和住院率分析居民卫生服务利用情况,运用集中指数CI反映不同收入阶层居民卫生服务利用的公平性分布。结果本次研究调查显示,被调查整体居民的两周患病率为14.27%,集中指数为-0.011 5,偏向低收入人群。慢性病患病率为13.08%,集中指数为0.040 4,偏向高收入人群。居民两周就诊率为12.49%,集中指数为-0.006 1,绝对值近似为0,较公平。居民住院率为9.71%,集中指数为-0.015 0,倾向于发生在低收入人群。结论不同收入水平居民的卫生服务利用公平性仍需改善,建议政府及相关部门加强健康教育宣传力度,大力发展经济,提高低收入人群的经济能力,出台相应的控费政策。OBjECTIVE To analyze the utilization of health services and their equity in Yinchuan,Ningxia,and to provide policy suggestions to promote the fairness of residents'health service utilization under different income levels.METHODS A stratified random sampling method was used to survey residents above 18 in Yinchuan based on household questionnaires.The frequency and composition ratio method is used to describe the general situation of residents surveyed.Using the two-week prevalence,the prevalence of chronic diseases,twoweek visiting rate,hospitalization rate analysis of the utilization of residents'health services.Using the Concentration Index CI to Reflect the Equity of Health Services Utilization by Residents in Different Income Stages.RESULTS The research survey showed that the overall prevalence of the surveyed residents was 14.27%for two weeks and the concentration index was-0.011 5,favoring low-income people.The prevalence of chronic diseases was 13.08%,and the concentration index was 0.040 4,favoring high-income people.Residents visit two weeks rate was 12.49%,the concentration index was-0.006 1,the absolute value of approximately 0,more fair.Resident's hospitalization rate was 9.71%,with a concentration index of-0.015 0,which tended to occur in low-income families.CONCLUSION The fairness of the use of sanitary clothing for residents with different income levels still needed improvement.It was recommended that the government and related departments strengthen health education and publicity,vigorously develop the economy,raise the economic ability of low-income groups,and issue a corresponding fee control policy.

关 键 词：卫生服务利用 公平性 集中指数 

分 类 号：R197[医药卫生—卫生事业管理]