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目的了解新医改以来山东省维坊市乡镇卫生院卫生设备配置公平性的变化情况和差异的主要来源。方法采用分层随机抽样法抽取山东省潍坊市8个市县的30家乡镇卫生院作为研究样本,利用泰尔指数对2009—2015年样本地区乡镇卫生院的设备配置情况进行公平性分析。结果 2009—2015年,样本地区设备配置泰尔指数在0.158 0~0.215 4,且总体呈下降趋势;区域内泰尔指数在0.076 4~0.137 7,年均值为0.109 3,对总体泰尔指数的贡献率均值为56.33%;区域间泰尔指数在0.101 7~0.071 1;年均值为0.083 7,对总体泰尔指数的贡献率均值为43.67%。结论新医改以来,基层医疗卫生机构的设备配置水平有所增强,公平性有所提高;相比县域之间设备配置公平性的差异,各县域内部不同乡镇卫生院之间设备配置的不公平是整个样本地区不公平的主要来源。
Objective To understand the changes in the fairness of health facilities in township hospitals in Weifang City, Shandong Province since the medical reform and the main sources of differences. Methods Stratified random sampling method was used to extract 30 township health centers in 8 cities and counties of Weifang City, Shandong Province as research samples, and the use of Theil index to conduct fairness analysis on the equipment allocation of township hospitals in sample areas from 2009 to 2015. Results From 2009 to 2015, the Theil index of equipment allocation in the sample area was between 0.158 0 and 0.215 4, with an overall downward trend. The Theil index in the region was between 0.076 4 and 0.137 7, with an annual average of 0.109 3. For the overall Theil index The average contribution rate is 56.33%. The inter-regional Theil index is 0.101 7 ~ 0.071 1, the annual average is 0.083 7, and the contribution to the overall Theil index is 43.67%. Conclusions Since the new medical reform, the level of equipment deployment in primary health care institutions has been enhanced and the fairness has been improved. Compared with the differences in the fairness of equipment allocation among different counties, the unfairness in the allocation of equipment among different township hospitals in different counties is The main source of unfairness throughout the sample area.