基于集中指数和泰尔指数评价山东省妇幼保健资源分布及儿童健康公平性

发布时间：2018-08-09 15:00

【摘要】：目的分析评价山东省妇幼保健资源分布及儿童健康水平的公平性。方法主要利用集中指数、集中曲线和泰尔指数进行测算。结果妇幼保健机构数、妇幼保健机构床位数、妇幼保健机构卫生人员数的集中指数CI分别为:0.2078、0.1728、0.1298。表明山东省妇幼保健资源向经济水平较高的地区倾斜的趋势明显,地区之间妇幼保健资源的分布不合理。泰尔指数显示导致山东省总体妇幼保健资源配置不公平和5岁以下儿童健康不公平的主要因素是山东省东、中、西部地区区域内的不公平。5岁以下儿童死亡率的集中指数CI为0.1782,5岁以下儿童人口基数大的地区和经济水平较低的地区死亡率明显偏高,经济水平高的地区和5岁以下人口基数小的地区5岁以下儿童死亡率较低。结论山东省妇幼保健资源的配置存在地区性差异,存在不公平现象。山东省5岁以下儿童健康水平存在不公平性,应进一步降低5岁以下儿童死亡率,提高儿童健康的公平性。
[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.
【作者单位】：潍坊医学院管理学院;山东省卫生教育培训中心;
【基金】：山东省自然科学基金(ZR2013GL006)
【分类号】：R172

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