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目的探讨2010年新疆生产建设兵团城市和团场居民门诊和住院利用在不同经济收入人群间分布的公平性。方法按等值人均消费性支出划分不同经济水平人群;计算不同经济水平居民门诊和住院实际利用和标化后利用量的构成及集中指数。结果五等分组人群由贫到富,实际就诊次数的分布城市分别为14.5%、15.8%、19.2%、32.5%和17.9%,团场分别为12.6%、22.2%、17.5%、24.9%和22.7%,趋势不明显,计算其集中指数分别为0.12和0.10;城市和团场住院利用的分布均是随着由贫到富,利用逐渐增加,城市住院次数和住院天数由14%左右增加到24%左右,团场从12%左右增加到30%以上,城市住院利用向富人倾斜程度较团场轻,城市和团场住院次数的集中指数分别为0.13和0.20,住院天数的集中指数分别为0.13和0.17;标化后门诊和住院利用的公平性有不同程度改善。结论城市和团场居民门诊利用的公平性均较好,城市居民住院利用的公平性好于团场。
Objective To explore the fairness of the distribution of outpatient and inpatient use of residents in urban and rural areas of Xinjiang Production and Construction Corps in 2010 among different economic income groups. The method divides people with different economic levels according to their per capita consumption expenditures, and calculates the composition and concentration index of actual utilization and standardized utilization of outpatient and inpatient residents with different economic levels. Results The cities in the quintile were from rich to poor with the actual number of visits being 14.5%, 15.8%, 19.2%, 32.5% and 17.9%, respectively, with 12.6%, 22.2%, 17.5%, 24.9% and 22.7% respectively %, The trend is not obvious, the calculation of its concentration index were 0.12 and 0.10; urban and community hospital use of the distribution are used from poor to rich, increasing use of urban hospitalization and hospitalization days increased from 14% to 24 %. The number of hospital groups increased from 12% to over 30%. The urban hospitalization tended to be less inclined to the wealthy than the mass. The concentration indices of inpatient numbers in urban and rural areas were 0.13 and 0.20, respectively. The concentration indices of hospitalization days were 0.13 and 0.17 respectively; the fairness of outpatient and inpatient use after standardization improved to some extent. Conclusions The fairness of outpatient use by residents in both urban and rural areas is good, and the fairness of hospitalization of urban residents is better than that of the field.