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The objective of this study is to establish an evaluation method on the allocation equity of large medical equipment and provide an analytical tool for the regional health planning and reasonable allocatico of health resources.Methods:Lorenz curve and Gini coeffecient are proper method of measuring the income equity in economics.Based on this theory,Gini coefficient was put forward to be employed in the allocation equity analysis of large medical equipment.Data from a survey on the large medical equipment... The objective of this study is to establish an evaluation method on the allocation equity of large medical equipment and provide an analytical tool for the regional health planning and reasonable allocatico of health resources.Methods:Lorenz curve and Gini coeffecient are proper method of measuring the income equity in economics.Based on this theory,Gini coefficient was put forward to be employed in the allocation equity analysis of large medical equipment.Data from a survey on the large medical equipment in a province were used to construct the Lorenz curve ,and Gini coeffcient are calculated in this study. Results:The Gini coefficient for the large medical equipment is 0. 366 and 0. 245 for CT scanners. It shows that the allocation equity in CT scanners is better than the overall conditions of large medical equipment.Conclusions:Priorities should be given to the areas with less large medical equipment toimprove the equity.Lorenz curve and Gini coefficient can also be used in other equity evaluation aspects of health resources allocation, such as the distribution of the doctors, nurses and medical beds which can provide decision information to the ongoing work of regional health planning in China. 该研究的目的是探索一种评价大型医用设备配置公平性的方法,为区域卫生规划工作和卫生资源的合理配置提供分析工具。方法:劳伦兹曲线和基尼系数是经济学中评价收入公平性的良好方法,作者依据其原理提出可以利用基尼系数评价大型设备配置的公平性,并利用一个省大型医用设备调查的数据绘制了设备配置的劳伦兹曲线,计算了相应的基尼系数。结果:大型医用设备配置的基尼系数为0.366,CT配置的基尼系数为0.245,CT配置的公平程度要稍好于大型医用设备的总体情况。结论:大型医用设备在配置规划上要多向配置水平较低的地区倾斜,以改善公平性。劳伦兹曲线和基尼系数也可用于卫生资源配置公平性评价的其他方面,如医师和护士的配置以及床位资源的配置。可以为区域卫生规划工作提供决策参考依据。 The objective of this study is to establish an evaluation method on the allocation equity of large medical equipment and provide an analytical tool for the regional health planning and reasonable allocation of health resources.Methods:Lorenz curve and Gini coefficient are proper method of measuring the income equity in economics.Based on this theory,we put forward that Gini coefficient can... The objective of this study is to establish an evaluation method on the allocation equity of large medical equipment and provide an analytical tool for the regional health planning and reasonable allocation of health resources.Methods:Lorenz curve and Gini coefficient are proper method of measuring the income equity in economics.Based on this theory,we put forward that Gini coefficient can be employed in the allocation equity analysis of large medical equipment.Data from a survey on the large medical equipment in a province were used to construct the Lorenz curve and Gini coefficient was calculated in our study.Results:The Gini coefficient for the large medical equipment is 0.366 and 0.245 for CT scanners. We can from this infer that the allocation equity in CT scanners is better than the overall conditions of large medical equipment.Conclusions:Priorities should be given to the areas with less large medical equipment to better the equity. Lorenz curve and Gini coefficient can also be used in other equity evaluation aspects of health resources allocation,such as the distribution of the doctors,nurses and medical beds.They can provide decision information to the ongoing work of regional health planning in China. 本研究的目的是探索一种评价大型医用设备配置公平性的方法 ,为区域卫生规划工作和卫生资源的合理配置提供分析工具。方法 :劳伦兹曲线和基尼系数是经济学中评价收入公平性的良好方法 ,作者依据其原理提出可以利用基尼系数评价大型设备配置的公平性 ,并利用一个省大型医用设备调查的数据绘制了设备配置的劳伦兹曲线 ,计算了相应的基尼系数。结果 :大型医用设备配置的基尼系数为0.366,CT配置的基尼系数为0.245,CT配置的公平程度要稍好于大型医用设备的总体情况。结论 :大型医用设备在配置规划上要多向配置水平较低的地区倾斜 ,以改善公平性。劳伦兹曲线和基尼系数也可用于卫生资源配置公平性评价的其他方面 ,如医师和护士的配置以及床位资源的配置。可以为区域卫生规划工作提供决策参考依据。 Objective To know about the equity of health services utilization (including community health services utilization) of Baoding City.Methods 962 households in Baoding City were selected for the household survey through two stage sampling method_random cluster sampling and systematic sampling.And the households were divided into 3 groups for the equity analysis.Results The percentage of those who have no insurance in the general group is 41 0%,much lower than those of the critical relatively poor group... Objective To know about the equity of health services utilization (including community health services utilization) of Baoding City.Methods 962 households in Baoding City were selected for the household survey through two stage sampling method_random cluster sampling and systematic sampling.And the households were divided into 3 groups for the equity analysis.Results The percentage of those who have no insurance in the general group is 41 0%,much lower than those of the critical relatively poor group and the relatively group which are around 60 percent.As to the inpatient services utilization,the number of hospital admissions per 100 persons of the general group in year 2000 is 7 27,much lower than that of the relatively poor group which is 19 86.The number of outpatient visits per 100 persons in the previous two weeks of relatively poor group is 19 86,much higher than that of the other two groups.The percentages of the medical fees out of pocket of three groups in terms of annual income are 24 5%,2 68% and 1 55% respectively.There is little difference in community health services utilization among different groups,except psychological consultation,whose reception percentages of the households of the first two groups are 4 76% and 6 82% respectively,greater than that of the general group.Conclusion (1)The poor has greater needs of health services and heavier burden of disease,but their ability to pay is lower than others.(2)There is little difference in the utilization of the community health services among the crowds of different income level. 目的 了解保定市居民卫生服务利用 (包括社区卫生服务利用 )的公平性情况。方法 通过两阶段抽样方法 (随机整群抽样和系统抽样 )调查了河北省保定市南市区、北市区和新市区 3个区的 962户居民的卫生服务利用情况 ,采用调查表的方式入户调查 ,并将被调查家庭分成 3组 :相对贫困组、贫困临界组和一般家庭组进行公平性分析。结果 一般家庭组中医疗费用支付自费者占 41 0 % ;而相对贫困组为 61 1 % ,贫困临界组为 65 3 % ;相对贫困组年住院率为 1 9 86 % ,贫困临界组为 4 2 9% ,一般家庭组为 7 2 7%。 3组人群两周就诊率分别为 1 9 86 %、 1 0 71 %和 7 66 % ;3组人群的年人均自负医疗费用占年人均收入的比例分别为 2 4 5 %、 2 68%和 1 55 % ;相对贫困组和贫困临界组家庭中接受心理咨询家庭数所占比重分别为 4 76 %和 6 82 %。结论 (1 )相对贫困人群的卫生服务需求较大 ,但医疗费用支付能力较弱 ,相对贫困人群的医疗疾病负担较重 ;(2 )不同经济条件人群的综合社区卫生服务利用差异不大。
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