江苏省基本公共卫生服务项目均等化实施进程及公平性分析
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1.南京医科大学公共卫生学院流行病学系 江苏南京;2.江苏省疾病预防控制中心;3.南京医科大学

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江苏省六大人才高峰项目(2014-YY-023);江苏省青蓝工程(2014)


Progress and Equity of the National Essential Public Health Services Project in Jiangsu Province
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1.Department of Epidemiology,School of Public Health,Nanjing Medical University,Nanjing;2.Jiangsu Province Center for Disease Prevention and Control,Nanjing;3.Nanjing Medical University

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    摘要:

    【】目的:分析国家基本公共卫生服务项目均等化实施进程与公平性。 方法:采用多阶段随机抽样法,从江苏省抽取36家基层卫生机构,开展基本公共卫生服务项目实施情况调查,采用基尼系数进行公平性评价。 结果:所调查机构的公共卫生服务项目基本均达到国家考核任务目标,但存在地区及项目间差异。居民健康档案规范建档和健康教育基尼系数分别为0.387和0.260,处于相对合理和比较公平状态,其他项目基尼系数均小于0.2,达到公平状态。 结论:江苏省实施国家基本公共卫生服务项目进展顺利,基本实现均等化,但应注重公共卫生专业人员的合理配置。

    Abstract:

    Objective: To describe the current situation of the equalization of national essential public health service in Jiangsu province. Methods: We conducted a field survey by visiting 36 primary health care facilities in Jiangsu province using a multi-stage random sampling method. The Gini coefficient was used to evaluate the equity of service. Results: Institutions we have visited achieved the goal of national assessment task, but with significant difference between areas and projects. The Gini coefficients of health records and health education were 0.387 and 0.260, respectively, indicating a relatively reasonable and fairly fair state. The Gini coefficients of other projects were all less than 0.2, showing perfect equality. Conclusion: The implementation of the national essential public health service project in Jiangsu has progressed smoothly. However, we should pay more attention to the rational allocation of public health professionals.

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  • 收稿日期:2018-12-11
  • 最后修改日期:2019-02-11
  • 录用日期:2019-07-01
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