文章摘要
何碧玉,郭海健,王建明.江苏省基本公共卫生服务均等化分析[J].南京医科大学学报(社会科学版),2019,(3):210~213
江苏省基本公共卫生服务均等化分析
The equalization analysis of the national essential public health services in Jiangsu Province
投稿时间:2018-12-11  
DOI:10.7655/NYDXBSS20190309
中文关键词: 基本公共卫生服务  卫生服务供给  公平性
英文关键词: essential public health services  health service delivery  equity
基金项目:江苏省六大人才高峰项目(2014-YY-023);江苏省高校青蓝工程(2019)
作者单位
何碧玉 南京医科大学公共卫生学院全球健康中心江苏 南京 211166 
郭海健 江苏省疾病预防控制中心综合业务管理办公室江苏 南京 210009 
王建明 南京医科大学公共卫生学院全球健康中心江苏 南京 211166 
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中文摘要:
      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问卷调查,对苏南、苏中和苏北三地的基本公共卫生服务实施情况进行描述和比较,采用基尼系数进行服务公平性评价。所调查机构的公共卫生服务项目基本达到国家制定的考核标准,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的基尼系数分别为0.387和0.260,处于相对合理和比较公平状态,其他项目的基尼系数均小于0.2,达到公平状态。研究表明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,但部分项目仍存在地区间差异。
英文摘要:
      We conducted questionnaire survey by investigating 36 primary health care facilities in Jiangsu Province using a multi?stage random sampling method. We described and compared the situation of the national essential public health service among the north, middle and south part of Jiangsu and used the Gini coefficient to evaluate the equity of service. Institutions that we investigated basically have reached the assessment of national standards, but there were significant differences 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. The implementation of the national essential public health service project in Jiangsu has progressed smoothly, and equalization has been basically achieved. However, there are still differences among different regions.
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