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目的:研究江西省新型农村合作医疗(简称新农合)试点地区卫生服务提供公平性的现状和变化趋势。方法:采用多阶段分层随机抽样抽取研究对象,进行5年入户调查。以集中指数(CI)和不平等斜率指数(SII)作为评价指标进行评价。结果:五次调查提供公平性各指标CI值均接近0,表明卫生服务提供公平性较好。农户居住地离就医距离<1公里的比例和农户评价定点医疗机构服务态度较好及很好的比例呈下降趋势,评价服务质量很好及较好的比例呈上升趋势。结论:农户就医距离较短,对定点医疗机构卫生服务态度和服务质量较为满意,但对服务态度满意度呈现下降趋势,需引起注意。
Objective: To study the status quo and change trend of the fairness of health service provision in the pilot areas of New Rural Cooperative Medical Scheme (NCMS) in Jiangxi Province. Methods: A multi-stage stratified random sampling was used to select the subjects for investigation. The concentration index (CI) and the inequality slope index (SII) were used as the evaluation indicators. Results: The CI values of all indicators that provided fairness in five surveys were close to 0, indicating that the fairness of health service provision was better. The proportion of farmer households living in less than 1 km away from the hospital for medical treatment and the farmer’s evaluation of the good and very good ratio of the designated medical institutions showed a downward trend, and the quality of the evaluation service was good and the proportion was on the rise. Conclusion: The farmer’s medical treatment is short, and is satisfied with the health service attitude and service quality of the designated medical institutions. However, the satisfaction with service attitude shows a downward trend, which needs attention.