摘要
【目的】研究我国0-17岁人口两周患病就诊与治疗的公平性,揭示儿童及青少年在接受卫生服务方面的公平程度和不公平现象。【方法】利用2003年第三次国家卫生服务调查资料,计算不同家庭经济水平的0-17岁人口两周患病未就诊率和未治疗率,利用集中曲线和集中指数定量分析城市与农村该年龄段人口卫生服务利用的公平程度。【结果】城市地区未发现明显的不公平性,而农村地区家庭经济状况越差的0-17岁患者卫生服务利用越差,卫生服务向少数富裕人群倾斜。【结论】中国农村地区0-17岁人口卫生服务利用存在不公平性,严重影响农村贫困未成年人的健康发展,在提高儿童和青少年健康的诸多措施中,应把改善卫生服务公平性作为主要的考虑因素。
[Objective] To study on equity in health service utilization of two week illness among 0- 17 years old people in China. [Methods] The data of the national health services survey in China was used to calculate the proportion of no visiting doctors or treatment of two week illness among children and youth according to financial status of their families. Equity was measured by concentration curve and concentration index. [Results] There was inequity in rural areas. 0- 17 year old people from poor families received less outpatient health care and treatment. Health services were in favor of those from families with best financial status. In urban areas, inequity was not found. [Conclusions] Inequity utilization of health services in rural areas seriously influence poor young people＇s health. Development of equity in health service should be the most important point when carrying out measures to improve young people＇s health.
出处
《中国儿童保健杂志》
CAS
2008年第1期19-20,23,共3页
Chinese Journal of Child Health Care
基金
卫生部与联合国儿童基金会合作课题(Y1108)
关键词
卫生服务调查
青少年
服务利用
公平性
health service survey
young people
service utilization
equity
