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目的:分析乡村卫生服务一体化管理实施前后五原县健康公平性的变化,探讨改善健康公平的具体措施。方法:采用2011年和2014年“构建和评价乡村卫生服务一体化管理的适宜模式提高内蒙古农牧区卫生服务能力”调查数据,通过计算集中系数,分析乡村卫生服务一体化实施前后健康公平性的变化。结果:不同收入组自感健康指标集中系数由一体化实施前的-0.09变为实施后的-0.08,而不同收入组慢性病患病集中系数由实施前的-0.15变为实施后的-0.12。结论:乡村卫生服务一体化管理的实施,改善了地区的健康公平性,并且不同的健康变量对于健康公平性的敏感程度存在差异。
Objective: To analyze the changes of health fairness in Wuyuan County before and after the implementation of integrated management of rural health services, and to explore specific measures to improve health equity. Methods: Based on the survey data of “building and evaluating the appropriate mode of integrated management of rural health services in 2011 and 2014 to improve the capacity of health services in rural and pastoral areas in Inner Mongolia”, the health fairness before and after the integration of rural health services Sexual changes. Results: The concentration coefficient of self-perceived health indicators in different income groups changed from -0.09 before implementation to -0.08 after implementation, while the concentration coefficient of chronic diseases in different income groups changed from -0.15 before implementation to -0.12 after implementation. Conclusion: The implementation of integrated management of rural health services has improved the health equity in different regions and different health variables have different sensitivity to health fairness.