【摘要】：目的分析評價山東省婦幼保健資源分布及兒童健康水平的公平性。方法主要利用集中指數(shù)、集中曲線和泰爾指數(shù)進行測算。結(jié)果婦幼保健機構(gòu)數(shù)、婦幼保健機構(gòu)床位數(shù)、婦幼保健機構(gòu)衛(wèi)生人員數(shù)的集中指數(shù)CI分別為:0.2078、0.1728、0.1298。表明山東省婦幼保健資源向經(jīng)濟水平較高的地區(qū)傾斜的趨勢明顯,地區(qū)之間婦幼保健資源的分布不合理。泰爾指數(shù)顯示導(dǎo)致山東省總體婦幼保健資源配置不公平和5歲以下兒童健康不公平的主要因素是山東省東、中、西部地區(qū)區(qū)域內(nèi)的不公平。5歲以下兒童死亡率的集中指數(shù)CI為0.1782,5歲以下兒童人口基數(shù)大的地區(qū)和經(jīng)濟水平較低的地區(qū)死亡率明顯偏高,經(jīng)濟水平高的地區(qū)和5歲以下人口基數(shù)小的地區(qū)5歲以下兒童死亡率較低。結(jié)論山東省婦幼保健資源的配置存在地區(qū)性差異,存在不公平現(xiàn)象。山東省5歲以下兒童健康水平存在不公平性,應(yīng)進一步降低5歲以下兒童死亡率,提高兒童健康的公平性。
[Abstract]:Objective to analyze and evaluate the distribution of maternal and child health resources and the equity of children's health in Shandong Province. Methods the concentration index, concentration curve and Thiel index were used to measure. Results the concentration index CI of the number of maternal and child health care institutions, the number of beds in maternal and child health care institutions and the number of health personnel in maternal and child health care institutions were respectively: 0. 0. 2078 / 0.1728 / 0.1298. The results showed that the maternal and child health care resources in Shandong Province tended to tilt to areas with higher economic level, and the distribution of maternal and child health care resources among regions was unreasonable. The Terre index shows that the main factors leading to the unfair allocation of maternal and child health resources in Shandong Province as a whole and the unfair health of children under the age of five are East and Middle of Shandong Province. The concentration index CI of the unfair mortality rate of children under the age of 5 in the western region is 0.1782%. The mortality rate is obviously higher in the areas with large population base and low economic level. Areas with high economic levels and areas with a small population base under five have lower under-five mortality rates. Conclusion the distribution of maternal and child health resources in Shandong Province is different and unfair. There is unfairness in the health level of children under 5 years of age in Shandong Province. It is necessary to further reduce the mortality rate of children under 5 years of age and improve the equity of children's health.
【作者單位】： 濰坊醫(yī)學院管理學院;山東省衛(wèi)生教育培訓中心;
【基金】：山東省自然科學基金(ZR2013GL006)
【分類號】：R172

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