基于集中指数分解法的黑龙江省居民住院服务利用公平性研究  

Study on the Equity of Inpatient Service Utilization of Residents in Heilongjiang Province Based on Decomposition of Concentration Index

作　　者：程怀志[1] 郭斌[1] 张槊[1] 刘艳瑞[1] 张浩为 刘博[1] 张婷婷[1] Cheng Huaizhi(Daqing Campus of Harbin Medical University,Daqing,163319)

机构地区：[1]哈尔滨医科大学大庆校区

出　　处：《医学与社会》2020年第1期12-16,共5页Medicine and Society

基　　金：国家自然科学基金资助项目,编号为71704039;黑龙江省哲学社会科学研究规划项目,编号为18ZXC271;黑龙江省卫生计生委课题,编号为2017-171、2017-176

摘　　要：目的:分析居民住院服务利用的公平性,测量社会经济因素的贡献额度。方法:利用第五次国家卫生服务调查黑龙江省数据,采用集中指数和集中曲线定量分析住院服务利用公平性,通过集中指数分解法分析住院服务利用不公平的主要影响因素。结果:黑龙江省城乡居民住院服务利用水平不公平指数均为0.209;居民住院服务利用和预期需要之间存在一定差距;经济因素是导致城乡居民住院服务利用不公平的主要原因,其贡献率分别为9&50%和153.39%。结论:政府应加大卫生投入力度,完善医疗保障制度,重点关注低收入人群的健康保障。Objective:To analyze the equity of inpatient service utilization and measure the contribution of socio-economic factors.Methods:Data were collected from the Fifth National Health Service Survey in Heilongjiang province.Concentration index and concentration curve were used to analyze inequity of inpatient service utilization.Decomposition of concentration index was employed to quantify the contribution of main influencing factors of inequity in inpatient service utilization.Results:Horizontal Inequi ty index of inpatient service utilization was 0.209 in urban and rural areas of Heilongjiang province.There was a certain gap between residents'inpatient service utilization and expected needs.Economic factors were the main reason for the inequity of inpatient serv ice utilization,with contribution rates of 98.50%and 153.39%,respectively.Conclusion:The government should increase its in vestment to health,improve the medical security system,and focus on the health protection of low-income groups.

关 键 词：卫生服务利用 住院服务 公平性 集中指数 分解法 居民 黑龙江 

分 类 号：R197.32[医药卫生—卫生事业管理]