新疆维吾尔自治区农村居民住院服务利用公平性分析  

Utilization Equity Analysis of Inpatient Service among Rural Resident in Xinjiang Uygur Autonomous Region

作　　者：王柯乂 秦江梅 张艳春 张丽芳 林春梅 Wang Keyi;Qin Jiangmei;Zhang Yanchun;Zhang Lifang;Lin Chunmei(Shihezi University School of Medicine,Shihezi,Xinjiang,832002,China)

机构地区：[1]石河子大学医学院,新疆石河子832061 [2]国家卫生健康委卫生发展研究中心,北京100044

出　　处：《中国初级卫生保健》2023年第9期1-3,11,共4页Chinese Primary Health Care

摘　　要：目的:分析新疆维吾尔自治区农村居民住院服务利用的公平性,并探讨其公平性的影响因素。方法:利用2021年国家卫生健康委卫生发展研究中心在新疆维吾尔自治区6个基层卫生健康综合试验区收集的家庭健康询问调查数据。采用集中指数法分析住院服务利用的公平性,用集中指数分解法分析各影响因素对住院服务利用不平等的贡献程度。结果:新疆维吾尔自治区农村地区从最贫困~最富裕5等分组居民住院次数占比分别为10.02%、19.43%、21.68%、19.22%、29.65%,住院天数占比分别为9.97%、19.57%、21.53%、19.26%、29.67%。上述两项指标实际利用的集中指数分别为0.1593、0.1591,标化后利用的集中指数分别为0.1086、0.0960,表明新疆维吾尔自治区农村居民住院服务利用较公平,家庭收入是影响住院服务利用公平性的首要因素。结论:新疆维吾尔自治区农村居民住院服务利用基本公平,住院服务利用略倾向于高收入人群,家庭收入是影响住院服务利用不平等的主要因素。OBJECTIVE To analyze the utilization equity of inpatient services of rural residents in Xinjiang in 2021 and explore the impact factors.METHODS Household survey data collected by the China National Health Development Research Center in 2021in six primary health comprehensive pilot areas was employed.Concentration index was used to analyze the utilization equity of inpatient services.Decomposing concentration index was used to measure the contribution of different factors of utilization of inpatient services inequalities.RESULTS In rural areas of Xinjiang,from the poorest to the richest,the proportions of inpatient times by each quintile were 10.02%,19.43%,21.68%,19.22%and 29.65%,the proportions of the hospital days were 9.97%,19.57%,21.53%,19.26%and 29.67%,respectively;the CIs of the above two indicators actually utilized were 0.1593 and 0.1591.The standardized utilizations of CI were 0.1086 and 0.0960,reflecting that the utilization of inpatient services of rural residents in Xinjiang is relatively fair.Household income was the major impact factor of utilization equity of inpatient services.CONCLUSION The utilization of inpatient services of rural residents in Xinjiang was fundamentally fair and slightly beneficial to the high-income groups;Economic factors are the main contributors to unequal utilization of inpatient services.

关 键 词：住院服务利用 公平性 集中指数 集中指数分解 

分 类 号：R195[医药卫生—卫生统计学]