新医改对妇女妇科检查服务利用公平性的影响--以陕西省为例  

Impacts of the new medical reform on the equity of women s gynecological examination service utilization:Taking Shaanxi Province as an example

作　　者：钱玉燕[1] 闫菊娥[2] 倪晓莉[1] 王渭玲[1] 王瑜萍 高建民[2] QIAN Yuyan;YAN Ju'e;NI Xiaoli;WANG Weiling;WANG Yuping;GAO Jianmin(School of Humanities and Social Sciences,Xi'an Jiaotong University,Xi'an 710049;School of Public Policy and Administration,Xi'an Jiaotong University,Xi'an 710049)

机构地区：[1]西安交通大学人文学院,陕西西安710049 [2]西安交通大学公共政策管理学院,陕西西安710049

出　　处：《西安交通大学学报（医学版）》2020年第6期950-955,共6页Journal of Xi’an Jiaotong University（Medical Sciences）

基　　金：陕西省软科学项目(No.2019KRM167)。

摘　　要：目的研究新医改对中国西部经济欠发达地区妇女妇科检查服务利用公平性的影响。方法利用陕西省第四次和第五次国家卫生服务调查数据,采用集中指数、集中指数分解法探讨妇女妇科检查服务利用的不平等性及其来源;采用水平不公平指数分析妇女妇科检查服务利用的水平公平性。结果2008年、2013年被调查妇女的妇科检查率的集中指数为0.0882、0.0640;水平不公平指数分别为0.0894、0.0463;对妇女妇科检查服务利用不平等性贡献最大的因素为经济水平,贡献率分别为54.49%和61.86%。结论新医改政策中,基本公共卫生和重大公共卫生服务的开展提高了妇女的妇科检查率,对改善妇女妇科检查服务利用公平性具有一定积极作用。Objective To study the impacts of the new medical reform on the utilization equity of gynecological examination services for women in economically underdeveloped regions of western China.Methods Based on the data of the 4th and 5th National Health Service Survey in Shaanxi Province,we used concentration index and decomposition of concentration index to explore the inequality of women's gynecological examination service utilization and its sources;we also used horizontal inequity index to analyze the horizontal equity of the women's gynecological examination service utilization.Results The concentration index of gynecological examination rate of the women surveyed in 2008 and 2013 was 0.0882 and 0.0640,respectively.The horizontal inequity index was 0.0894 and 0.0463,respectively.The factors that contributed most to the inequality of the women s gynecological examination service utilization were the economic level and contribution which accounted for 54.49%and 61.86%,respectively.Conclusion The implementation of basic public health and major public health services in the new medical reform policy has increased women's gynecological examinations rate and plays a positive role in improving the equity in utilization of women s gynecological examination services.

关 键 词：新医改 妇科检查 公平性 

分 类 号：R195.1[医药卫生—卫生统计学]