| 引用本文：许汝言, 胡敏, 叶露.生活水平指标选择对健康及卫生服务利用公平性指数的影响[J].中国卫生政策研究,2015,8(3):51-55 |
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| 生活水平指标选择对健康及卫生服务利用公平性指数的影响 |
| 投稿时间：2015-01-18 修订日期：2015-02-28 PDF全文浏览 HTML全文浏览 |
| 许汝言, 胡敏, 叶露 |
| 复旦大学公共卫生学院 卫生部卫生技术评估重点实验室 上海 200032 |
| 摘要:目的:研究不同生活水平指标下的健康及卫生服务利用公平性指数测算结果及其差异。方法:采取多阶段分层随机抽样抽取宁夏地区农村家庭,收集家庭收入、消费和财富以及居民健康、卫生服务利用等相关数据, 采用集中指数方法, 分别以收入、消费和财富指数做为生活水平指标, 测量样本人群健康和卫生服务利用公平性, 并对其差异进行分析。结果:选用不同生活水平指标得到的结果相关性较弱, 其测得的集中指数间差异在0.01～0.21之间, 大部分在0.05水平上显著。结论:选用不同生活水平指标对健康及卫生服务利用公平性指数测算具有显著影响;在一定区域内对生活水平进行测量, 财富指数能够获得比收入和消费更为客观和真实的结果, 但其使用条件更为严格。 |
| 关键词:财富指数 健康 卫生服务利用 集中指数 |
| 基金项目:国家自然科学基金资助项目(71303056);美国中华医学基金会公开竞标项目(13-163) |
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| Impact of choice of living standard indicators on the equality index of health and health service utilization |
| XU Ru-yan, HU Min, YE Lu |
| School of Public Health and Key Laboratory of Health Technology Assessment (Ministry of Health), Fudan University, Shanghai 200032, China |
| Abstract:Objective: To evaluate outcomes and differences of the equality indexes of health and health service utilization in different living standard indicators. Methods: Using multi-phase stratified random sampling to select samples of rural families in Ningxia region and collect data about sample families' income, consumption, wealth and some relevant data on family members' health status and health services utilization. Using concentration index to measure the equality of health and health services utilization with income, consumption or wealth index as living standard indicators respectively and discuss the differences of the outcomes. Results: For different living standard indicators, the correlation between each other was weak. The differences of concentration indexes with different living standard indicators between 0.01 to 0.21, and most of whichweresignificant on the level of 0.05. Conclusion: The impact of choice of living standard indicators on the equality index of health and health service utilization was significant. In a limited area, living standards measured by wealth index could be more accurate and objective than by income or consumption, but the condition of this method wasmore strict. |
| Key words:Wealth index Health Health services utilization Concentration index |
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