广东省2022年成人疫苗接种门诊服务可及性和均衡性分析  

Accessibility and equity of adult vaccination clinic services in Guangdong province in 2022

作　　者：杨尚峰 孙立梅[2] 马文军 逯建华[3] 黄芳[3] 彭嗣惠 何冠豪 刘远 王敏[4] 梁晓峰[1,5] 刘涛[1,5] Yang Shangfeng;Sun Limei;Ma Wenjun;Lu Jianhua;Huang Fang;Peng Sihui;He Guanhao;Liu Yuan;Wang Min;Liang Xiaofeng;Liu Tao(Department of Public Health and Preventive Medicine,School of Medicine,Jinan University,Guangzhou 510632,Guangdong,China;Guangdong Provincial Center for Disease Control and Prevention,Guangzhou 511430,Guangdong,China;Shenzhen Center for Disease Control and Prevention,Shenzhen 518000,Guangdong,China;Liwan District Center for Disease Control and Prevention,Guangzhou 510176,Guangdong,China;Kangtai Biological Vaccine Industry Research Institute/Disease Prevention and Control Institute of Jinan University,Guangzhou 510632,Guangdong,China)

机构地区：[1]暨南大学基础医学与公共卫生学院公共卫生与预防医学系,广东广州510632 [2]广东省疾病预防控制中心,广东广州511430 [3]深圳市疾病预防控制中心,广东深圳518000 [4]广州市荔湾区疾病预防控制中心,广东广州510176 [5]暨南大学康泰生物疫苗产业研究院/疾病预防控制研究院,广东广州510632

出　　处：《中国疫苗和免疫》2024年第5期590-595,共6页Chinese Journal of Vaccines and Immunization

基　　金：国家重点研发计划(2023YFC3605003);荔湾区科技计划项目(20230701)。

摘　　要：目的分析广东省成人疫苗接种门诊服务可及性和服务能力均衡性。方法收集广东省2022年各地市成人疫苗接种门诊信息,采用高斯两部移动搜索法计算可及性指数,采用基尼系数评估服务能力均衡性。结果广东省2022年共有成人疫苗接种门诊204家,平均每个地市9.7家,其中珠三角、粤北、粤东和粤西地区分别为127家(62.25%)、30家(14.71%)、27家(13.24%)、20家(9.80%)。在全省1669个乡镇/街道中,成人疫苗接种服务可及性指数低(0.01-1.24)、中(1.25-4.76)、高(4.77-17.90)分别占89.87%、8.99%、1.14%。服务能力总基尼系数为0.78,珠三角、粤北、粤东、粤西地区各地市基尼系数分别在0.54-0.91、0.82-0.90、0.69-0.81、0.80-0.89之间。结论广东省成人疫苗接种门诊相对不足,可及性和均衡性总体不高且存在明显地区差异。Objective To analyze the accessibility and service capacity equity of adult vaccination clinics in Guangdong province.Methods We collected information on adult vaccination clinics from all prefectures of Guangdong in 2022 to calculate accessibility indexes using the Gaussian two-step moving search method and evaluated service capacity equity using Gini coefficients.Results There were 204 adult vaccination clinics in Guangdong in 2022 for an average of 9.7 clinics per prefecture,with 127(62.25%),30(14.71%),27(13.24%),and 20(9.80%)clinics in Pearl River Delta,northern,eastern,and western areas,respectively.Of the 1669 townships in Guangdong,89.87%,8.99%,and 1.14%of clinics had low(0.01-1.24),middle(1.25-4.76),and high(4.77-17.90)levels of accessibility indexes for adult vaccination services.The overall Gini coefficient of service capacity equity was 0.78,with coefficients of 0.54-0.91,0.82-0.90,0.69-0.81,and 0.80-0.89 in Pearl River Delta,northern,eastern,and western areas.Conclusion The adult vaccination clinics in Guangdong are insufficient,with low accessibility and service capacity equity showing significant regional differences.

关 键 词：成人疫苗接种门诊 疫苗接种服务 可及性 均衡性 

分 类 号：R186[医药卫生—流行病学]