新疆生产建设兵团门诊和住院服务公平性分析

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

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。

Objective： To analyze the distribution of outpatients and inpatients under 15 year 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 eeonomie groups and eoneentration index（CI）. Results： The proportions of actual, need-expected and standardized outpatient utilization by eaeh 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 rieh＇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.