县、乡医疗卫生资源的优先性排序及其公平性考察——基于湖南省永州市零陵区的调研被引量：2

Priority Setting in County and Township Health Care Resources and Equity Investigation——A Survey of Lingling district In Yongzhou City of Hunan

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摘要目的通过调查湖南省永州市零陵区的患者和医务人员来考察当前医疗卫生资源的排序和配置是否缩小了城乡差距,促进了医疗公平。方法采用深度访谈和问卷调查相结合的方式,着重从基本医疗服务、基本医疗保险两方面来研究。结果医改在一定程度上促进了弱势群体在获得基本医疗服务方面的地理可及性和公平性,基本医疗保险的受益面和受益度在不断提高,但城乡之间的差距仍然较大。结论医疗卫生资源的排序和配置仍需优先考虑健康状况差、疾病负担重的人群和地区。 Objective：To investigate whether the priority setting in health care resources has narrowed the gap between urban and rural and enhanced medical equity.Methods：The basic medical services,basic medical insurances were studied by qualitative semi-structured in-depth interviews.Results：The basic medical service delivery system partly promotes geographical accessibility and fairness,and the coverage and degree of benefit from basic medical insurance are improving.But the differences and unfairness between countryside and the cities are still significient.Conclusions：The health care resources allocation should strengthen and give priority further to the population with lower health status and heavier disease burden.

作者陈鸿君刘俊香罗朝霞张旭平

机构地区中南大学公共卫生学院湖南省卫生和计划生育委员会北京协和医学院社会科学系湖南省肿瘤医院健康服务部首都医科大学卫生管理与教育学院

出处《中国医学伦理学》 2014年第5期648-651,共4页 Chinese Medical Ethics

基金国家社会科学基金:我国基本医疗改革的伦理学研究(12CZX067)

关键词优先性排序公平基层医疗服务基本医疗保险 Priority Setting Equity Basic Medical Services Basic Medical Insurances

分类号 R195 [医药卫生—卫生统计学]

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