安徽省农村居民卫生服务利用公平性分析

Analysis of equity in health service utilization among rural residents in Anhui province

目的:分析2009年安徽省农村地区15岁及以上居民门诊和住院利用公平性。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:居民门诊服务实际利用、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0.03、-0.02和0.05;贫困人群住院实际利用水平低于富裕人群;年住院次数与年住院天数实际利用的集中指数分别为0.23和0.29,需要预期利用的集中指数分别为0.01和-0.03,标化后利用的集中指数分别为0.22和0.32。结论:门诊服务利用公平性较好,住院服务利用公平性需要引起重视;社会经济因素对住院服务利用影响较大。

Objective： To analyze equity in outpatient and inpatient service utilization among different economic groups in rural areas of Anhui province in 2009. Methods ： Calculate the actual utilization, predicted utilization based on needs, standardized utilization among different economic groups and concentration index （CI）. Results： In terms of outpatient services, the proportions of actual utilization, predicted utilization based on needs, and standardized outpatient utilization by each quintile were at about 20%, the CI were 0.03, 0.02 and 0.05 respectively. Inpatient utilization among the poor residents was less than the rich. The CI of actual inpatient admissions and length of day were 0.23 and 0.29 respectively, predicted utilization based on needs were O. 01 and -0.03 ; and the standardized inpatient service utilization were 0.22 and 0.32. Conclusion ： The equity in outpatient service utilization was better than that of inpatient, the equity of inpatient service utilization should be paid more attention. Social-economic factors which impact the utilization of inpatient services were greater than that of outpatient.