摘要
目的:描述并对比新医改前后我国医院卫生服务利用公平性及其变化趋势。方法:用省级数据分析医院就诊人次和医院入院人数的公平性,并利用需要因素进行校正,分别采用集中指数和回归模型分析和比较新医改前后卫生服务利用的公平性及东中西部地区间差异的变化。结果:我国医院卫生服务利用数量逐年增加;公平性逐渐好转,平均就诊次数的公平性比年住院率差,据需要校正后的卫生服务利用公平性相对较差;新医改前后平均就诊次数的东西部地区差异拉大,年住院率的差异减小。结论:根据居民健康需要进行卫生资源的配置,有效提高卫生服务的可及性;重点关注医院平均就诊次数的公平性;关注资源投入转化为卫生服务利用的程度。
Objective: To describe and compare the equity and change trend of health utilization in hospital before and after new medical reform. Methods: Province-level data were used to analyze the equity of outpatient visits and hospital admissions in hospital.Variables were standardized by demand factors. Concentration index and regression model were respectively used to compare and analyze the equity of health service utilization and the changes of disparities among different regions in hospital before and after the new medical reform. Results: The quantity of health utilization in China’s hospitals was increased by years. The equity was getting better. The equity of average number of outpatient visits was worse than hospital admission rate. The equity of adjusted health utilization in hospital was worse after the adjustment. The differences of the average visit number between eastern and western regions was enlarging before and after the new medical reform. The difference of annual hospitalization rate was decreased. Conclusion:Health resource allocation should be based on resident health demand, which could effectively improve health service access. The equity of average number of outpatient visits should be focused on. It needed to focus on how much health resource input could be used by patients.
作者
宋宿杭
孟庆跃
SONG Su-hang;MENG Qing-yue(School of Public Health,Peking University,Beijing,100191,China;China Center for Health Development Studies,Peking University,Beijing,100191,China)
出处
《中国卫生经济》
北大核心
2019年第3期54-58,共5页
Chinese Health Economics
