山东省儿童保健服务利用及公平性评价

Equity evaluation and children health services utilization of Shandong Province

目的对山东省儿童保健服务的利用及公平性进行评价,以便了解儿童保健服务的均等化程度。方法采取分层随机抽样的方法对于989名儿童进行调查,运用集中曲线、集中指数等方法进行公平性评价。结果儿童保健服务多项指标的利用率偏低,且存在不同程度的不公平现象,其中不同收入组新生儿访视、儿童健康管理、儿童系统管理三项儿童保健指标的服务利用的集中指数分别为0.014 29、0.019 97和0.038 27。结论加强对公平性差的儿童保健服务项目的关注,提高儿童保健服务利用的公平性。

Objective To evaluate the utilization and equity of children health care services in Shandong Province.Method By stratified random sampling,989children were selected as the research sample.The methods of concentration curve and concentration index were used to evaluate the equity of children health care services. Results The use efficiency of indicators of children health care services was low.Unfairness of children health care services was existed in some degree. The concentration indexes of neonatal visit,children health management,children system management in different income groups were 0.014 29,0.019 97and 0.038 27. Conclusion The children health care services with low equity degree should be concerned and improved.