新疆生产建设兵团门诊和住院服务公平性分析

目的:探讨2010年新疆生产建设兵团15岁及以上居民门诊和住院利用在不同经济收入人群间分布的公平性。方法:计算不同经济水平人群门诊和住院实际利用、需要预期利用、标化后利用及集中指数。结果:居民在门诊的实际利用、需要预期利用和标化后利用在五等分组人群间的构成均在20%左右,集中指数分别为0.08、0.05和0.03;贫困人群的住院服务较富裕人群利用少,年住院次数与住院天数的实际利用的集中指数分别为0.18和0.16。结论:兵团居民门诊与住院医疗服务利用的公平性较好,门诊医疗服务利用的公平性好于住院。

Analysis of the Equity of Health Service in Xinjiang Production and Construction Corps

Objective: To analyze the distribution of outpatients and inpatients under 15 years old and the utilization among different economic groups in Xinjiang Production and Construction Corps in 2010,and evaluate the equity.Methods: Calculating the actual,need-expected and standardized utilization among different economic groups and concentration index(CI).Results: The proportions of actual,need-expected and standardized outpatient utilization by each quintile were at about 20%,the CI was 0.08,0.05 and 0.03 respectively.Poor people’s inpatient utilization was less than the rich’s.The CI of actual inpatient times and inpatient days were 0.18 and 0.16.Conclusion: The equity of outpatient utilization was better than that of inpatient,and they were at a good level.