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目的:评价湖南省三县农村居民卫生服务利用的公平性。方法:利用集中指数评价不同收入组农民卫生服务利用的公平性。结果:居民两周患病情况分布的集中指数为-0.042 9;两周患病医疗服务利用的集中指数为-0.057 5,患病未就诊的比例下降明显;住院服务利用的集中指数为-0.002 2;年医疗费用支出占年消费性支出比例的集中指数为-0.121 8。结论:居民健康状况、两周患病就诊服务利用情况、年住院服务利用情况在不同收入组居民中的分布公平性较高,年医疗费用支出占年消费性支出的比例公平性较低,需进一步完善新农合支付制度,促进参合农民合理利用卫生服务。
Objective: To evaluate the fairness of rural residents’ health service utilization in three counties of Hunan Province. Methods: To evaluate the fairness of farmers’ health service utilization in different income groups by means of concentration index. Results: The concentration index of residents’ two-week illness distribution was -0.042 9; the concentration index of two-week illness medical service utilization was -0.057 5; the proportion of sick and un-treated patients dropped significantly; the concentration index of inpatient service utilization was -0.002 2; The concentration index of annual medical expenses in the proportion of annual consumer expenditure is -0.121 8. Conclusion: The health status of residents and the utilization of medical services in two weeks, the annual distribution of hospital services is fairly high among residents of different income groups, and the proportion of annual medical expenses to annual consumption expenditure is low, Further improve the new rural cooperative medical payment system and promote farmers to make reasonable use of health services.