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目的对山东省儿童保健服务的利用及公平性进行评价,以便了解儿童保健服务的均等化程度。方法采取分层随机抽样的方法对于989名儿童进行调查,运用集中曲线、集中指数等方法进行公平性评价。结果儿童保健服务多项指标的利用率偏低,且存在不同程度的不公平现象,其中不同收入组新生儿访视、儿童健康管理、儿童系统管理三项儿童保健指标的服务利用的集中指数分别为0.014 29、0.019 97和0.038 27。结论加强对公平性差的儿童保健服务项目的关注,提高儿童保健服务利用的公平性。
Objective To evaluate the use and fairness of child health services in Shandong Province in order to understand the degree of equalization of child health services. Methods A total of 989 children were surveyed by stratified random sampling method, and the fairness evaluation was carried out by using such methods as concentration curve and concentration index. Results The utilization rate of multiple indicators of child health care services was low and there were different levels of unfairness. The indexes for the utilization of health care indicators of children with different income groups, neonatal visits, child health management and children’s system management were respectively 0.014 29, 0.019 97 and 0.038 27. Conclusions Strengthen the focus on poorly balanced child health services and improve the equitable use of child health services.