文献类型：期刊文献

中文题名：社会分层视角下卫生服务公平性研究

英文题名：Analysis on Health Service Equality from the Perspective of Social Stratification

作者：陈定湾[1];陈来仪[1];邢海燕[2];黄仙红[3];郑卫军[4]

机构：[1]浙江医学高等专科学校;[2]绍兴文理学院医学院;[3]杭州师范大学医学院;[4]浙江中医药大学基础医学院

年份：2014

卷号：33

期号：12

起止页码：66

中文期刊名：中国卫生经济

外文期刊名：Chinese Health Economics

收录：CSTPCD、、北大核心2011、北大核心

基金：教育部一般人文社科项目青年基金(10YJC840007)

语种：中文

中文关键词：社会分层;卫生服务需要;医疗保障;卫生服务利用;公平性

外文关键词：social stratification; health service demand; medical insurance; health service utilization; equality

中文摘要：目的:探索不同社会分层人群卫生服务公平性的差异。方法:采用分层随机抽样的方法,共抽取1 260户住户,对所有15岁以上的居民进行问卷调查。按照职业、收入和教育程度,将社会分层分为5层。结果:共获取有效样本3 241人,其中,男性占47.8%,女性52.2%,社会分层从上层、中上层、中层、中下层和下层的比例分别为13.3%、26.0%、26.0%、23.7%和11.0%。不同社会分层群体两周患病率和慢性病患病率未见梯度差异;社会分层越高,医疗保障水平越好;卫生服务利用差异主要在于两周未就诊率和就诊的医疗机构等级。结论:基本医疗保障制度的推进在一定程度上缩小了不同社会分层群体之间的卫生服务不公平性,但仍有待进一步改善。

外文摘要：Objective：To explore the differences of health service equity among different social stratification groups.Methods：Based on stratified random sampling method, 1 260 households were chosen and residents over the age of 15 were conducted by ques-tionnaire survey. According to occupation, income and education level, social stratification was divided into 5 layers.Results：A totalof 3 241 valid samples were obtained with 47.8% male and 52.2% female, the proportion of social stratification from the high to lowerwere respectively 13.3%, 26%, 26%, 23.7% and 11%. There was no gradient difference in two-week prevalence rate and morbidityrate of chronic diseases in different social stratification; social stratification was higher, the level of medical security was better. Themain difference of health service utilization existed in two-week no visiting rate and medical institution grade for treatment.Conclusion：The improvement of primary medical inurance system reduced the inequality in health services among different social stratifica-tion groups, but still needed to be further improved.