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目的了解芜湖市基本公共卫生服务项目进展及其实施的公平性,为项目推进提供参考。方法通过分层抽样调查了解该市各县区基本公共卫生服务项目进展,应用基尼系数评估其公平性。结果截至2012年,305家基层医疗卫生机构累计建立电子居民健康档案162.9万份,建档率为52.2%;A+C流脑第一剂次免疫接种率最高,为93.1%;白破疫苗接种率最低,为83.2%;儿童保健覆盖率、孕产妇早孕建册率、65岁以上老年人健康管理率分别为86.7%、77.5%、65.3%;高血压、2型糖尿病、重性精神病患者健康管理率分别为48.3%、59.3%、53.7%。按人口供给服务的基尼系数均处于最佳公平状态,按地理面积供给部分服务的基尼系数处于警戒状态。结论芜湖市基本公共卫生服务项目取得了一定成效,但各县区间存在一定差异,基本公共卫生服务均等化程度有待提高。
Objective To understand the progress of Wuhu basic public health service project and the fairness of its implementation so as to provide reference for project promotion. Methods By stratified sampling survey to understand the progress of basic public health service projects in counties and districts of the city, the fairness was evaluated by Gini coefficient. Results As of 2012, a total of 1,629,000 electronic health records were established by 305 grass-roots medical and health institutions with a file rate of 52.2%. The first immunization coverage rate of A + C meningitis was 93.1% The lowest rate was 83.2%. The coverage rate of children’s health, the rate of early pregnancy mapping and the rate of health management of the elderly over 65 years old were 86.7%, 77.5% and 65.3% respectively. The patients with hypertension, type 2 diabetes and severe mental health Management rates were 48.3%, 59.3%, 53.7% respectively. The Gini coefficient for population-based services is in the best possible balance and the Gini coefficient for some services provided by geographical area is on guard. Conclusion The basic public health service project in Wuhu has achieved some success, but there are some differences among the counties and the equalization of basic public health services needs to be improved.