EQUITY AND THE UTILIZATION OF HEALTH-SERVICES - REPORT OF AN 8-PROVINCE SURVEY IN CHINA
EQUITY AND THE UTILIZATION OF HEALTH-SERVICES - REPORT OF AN 8-PROVINCE SURVEY IN CHINA
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DOI：
10.1016/0277-9536(94)90024-8
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发表时间：
1994-09-01
影响因子：
5.4
通讯作者：
GE, KY
中科院分区：
文献类型：
--
作者：
HENDERSON, G;AKIN, J;GE, KY
本文考察了中国福利的一个组成部分--卫生服务的提供和使用的公平性。基于对中国八个省近16，000人的大规模调查，我们研究了在接受采访前四周内确认自己受伤或生病的工作年龄成年人的子样本。我们发现，除了报告的病情严重程度之外，很少有个人层面的因素与生病或受伤时使用服务有关。只有性别（女性）和在国营企业就业与较高的使用模式有关。这些结果表明，中国在地方一级已经实现了诊所和其他服务的广泛分布，并且被那些确定需要它们的人广泛使用。骑自行车离开某种形式的护理超过半小时的情况很少见，而且大多数护理似乎都相当便宜。这种广泛的服务可获得性与中国最近强调可获得性下降的报告形成对比，并描绘了一幅相对平等的医疗保健画面。
This paper investigates equity with respect to one component of welfare in China-the provision and use of health services. Based upon a large-scale survey of almost 16,000 individuals in eight provinces in China, we examine a sub-sample of working-age adults who have identified themselves as injured or ill during the four weeks prior to being interviewed. We found that, beyond the level of severity of the reported condition, very few individual-level factors are related to the use of services when ill or injured. Only gender (female) and employment in state-run enterprises are associated with higher patterns of use. These results suggest that China has achieved a very wide distribution of clinics and other services at the local level, and that they are widely used by those who identify need for them. It is rare to be over half an hour away by bike from some form of care and the majority of care appears to be reasonably inexpensive. This broad availability-of services contrasts with recent reports from China stressing declining accessibility, and paints a picture of relatively equal access to health care.