乡村卫生服务一体化管理的健康公平性评价:以内蒙古五原县为例

Assessment on the Health Equity of Township-Village Integrated Management: Using Wuyuan County of Inner Mongolia as Example

目的:分析乡村卫生服务一体化管理实施前后五原县健康公平性的变化,探讨改善健康公平的具体措施。方法:采用2011年和2014年"构建和评价乡村卫生服务一体化管理的适宜模式提高内蒙古农牧区卫生服务能力"调查数据,通过计算集中系数,分析乡村卫生服务一体化实施前后健康公平性的变化。结果:不同收入组自感健康指标集中系数由一体化实施前的-0.09变为实施后的-0.08,而不同收入组慢性病患病集中系数由实施前的-0.15变为实施后的-0.12。结论:乡村卫生服务一体化管理的实施,改善了地区的健康公平性,并且不同的健康变量对于健康公平性的敏感程度存在差异。

Objective:To analyze the changes of health equity in Wuyuan County after the implementation of rural health serviceintegrated management, discuss the practical countermeasures of improving health equity.Methods:The data from the survey of'Building and Evaluating the Appropriate Township-Village Integration Model to Improve Health Service Capacity in Inner Mongolia'were applied by calculating the concentration index so as to analyze the changes of health equity after the implementation of ruralhealth service integrated management.Results:Before and after this integration model, reported health index’s concentration indexfrom different income groups went from-0.09 to-0.08, but chronic disease’s concentration index went from-0.15 to-0.12.Conclusion:After the implementation of rural health service integrated management, the regional health equity was improved. Moreover, differ-ent health variable had differences in the sensitive degree of health equity.