城乡差异视角下的黑龙江省居民门诊服务利用公平性研究  

Study on the Equity of Outpatient Service Utilization of Residents from the Perspective of Urban-Rural Differences in Heilongjiang Province

作　　者：郭斌[1] 程怀志[1] 贾淑斌[1] 刘艳瑞[1] 张槊[1] 李玉 Guo Bin(Daqing Campus of Harbin Medical University,Daqing,163319)

机构地区：[1]哈尔滨医科大学大庆校区,大庆163319

出　　处：《医学与社会》2020年第3期16-19,31,共5页Medicine and Society

基　　金：国家自然科学基金青年资助项目,编号为71704039;黑龙江省省属高等学校基本科研业务费基础研究项目,编号为2017RWZX16;黑龙江省卫生计生委课题,编号为2017-171。

摘　　要：目的:测量居民门诊服务利用公平性,分析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,运用集中指数和集中曲线分析城乡居民门诊服务利用的公平性,通过集中指数分解法分析不公平的主要影响因素。结果:显龙江省城市的不公平程度高于农村,水平不公平指数分别为0.111和0.022。经济水平的门诊贡献率,城市为104.55%,农村为93.16%。结论:政府应加大卫生投入力度,缩小城乡差异,重点关注低收入水平居民,改善卫生服务利用公平性。Objective:To measure the equity of outpatient service utilization,and to analyze 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 employed to analyze inequity of outpatient service utilization.Decomposition of concentration index was used to quantify the contribution of main influencing factors of inequity.Results:The degree of inequity in the utilization of outpatient service in urban was relatively higher than in rural.Horizontal inequity of outpatient service utilization in urban and rural areas of Heilongjiang Province were 0.111 and 0.022 respectively.The contribution to economic status of outpatient service utilization rate was 104.55% in urban areas and 93.16% in rural areas.Conclusion:The government should increase its investment to health,narrow the gap between urban and rural areas,and focus on low-income residents,so as to improve the equity of health service utilization.

关 键 词：卫生服务利用 门诊 公平性 城乡地区 黑龙江 

分 类 号：R19-0[医药卫生—卫生事业管理]