首页 | 本学科首页   官方微博 | 高级检索  
检索        

上海郊区居民健康状况和医疗服务利用公平性研究
引用本文:陈璐,陈兴宝,夏妤.上海郊区居民健康状况和医疗服务利用公平性研究[J].中国初级卫生保健,2007,21(11):23-26.
作者姓名:陈璐  陈兴宝  夏妤
作者单位:复旦大学公共卫生学院,上海,200032
摘    要:目的通过对上海郊区合作医疗对象的健康状况与医疗服务利用的分析,评价其健康和医疗服务利用的公平性。方法运用STATA和SPSS统计软件,建立回归模型,并采用集中指数和集中曲线法来评价上海郊区合作医疗对象健康与医疗服务利用的公平性。结果不同收入、年龄、医疗保障制度和地区居民健康状况和医疗服务需要差异显著。不同经济收入人群医疗服务利用存在不公平的现象。门诊服务向高收入人群倾斜,住院服务则偏向于低收入人群。崇明县和奉贤区居民的医疗服务利用低于其他两地区,并且门诊服务利用的不公平程度高于住院服务的利用。结论上海郊区不同收入及地区人群的医疗服务利用存在不公平现象。

关 键 词:医疗服务利用  公平性  集中指数
文章编号:1001-568X(2007)11-0023-04
修稿时间:2007-09-25

A Study on the Health Status and Equity of Health Service Utilization of the Residents in Suburb Areas of Shanghai
CHEN Lu,CHEN Xing-bao,XIA Yu.A Study on the Health Status and Equity of Health Service Utilization of the Residents in Suburb Areas of Shanghai[J].Chinese Primary Health Care,2007,21(11):23-26.
Authors:CHEN Lu  CHEN Xing-bao  XIA Yu
Institution:School of Public Health, Fudan University, Shanghai, 200032, China
Abstract:OBJECTIVE To evaluate the equity of medical service based on the analysis of health status of the residents in Shanghai suburb areas. METHODS Statistics software STATA and SPSS were used to set up plural linear regression model,mark and melt the target variables. Concentration index and concentration curve were used to evaluate the equity of medical service. RESULTS The centralized index reveals:There was a great difference in health status and medical service among different income,age,medical system and areas. The groups of different economic incomes have unfairness in medical service. The clinical visit was sloped to the high income group,and the inpatient service to the low income group. The utilization of medical service in both residents of Chongming and Fengxian districts were less than the other two,and the clinical visit unfairness in medical service was higher than inpatient service. CONCLUSIONS The unfairness was still laid on medical service among the people with different income levels and areas.
Keywords:health service utilization  equity  concentration index
本文献已被 CNKI 维普 万方数据 等数据库收录!
设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号