目的:对宁夏城乡基本医疗服务均等化进行测量。方法:分别运用以人口为权重和以距离为权重的基本医疗资源分配泰尔指数及其分解的方法。结果:宁夏城乡基本医疗服务城乡差异显著,区域间差异的贡献率高。结论:宁夏城乡基本医疗服务存在严重非均等性。建议提高农村地区医护人员素质,完善培训及资质考核制度,建立远程会诊制度增加医疗资源共享性。完善医疗卫生政策,开放基层医疗机构基本医疗服务功能。
Objective: To measure the equalization of urban and rural essential medical services in Ningxia. Methods: To apply the Theil Index and its decomposition by using population as the weight and the distance as the weight of index of essential medical resource allocation. Results: Significant difference was found in urban and rural essential medical service in Ningxia, the contribution rate among regional differences was high. Conclusion: Non equivalence of essential medical service is serious between urban and rural areas in Ningxia. It is suggested to improve the quality of the rural medical staffs, implement the training and qualification appraisal system, set up a remote consultation system to increase the medical resource sharing, implement medical and health care policies and open essential medical function of essential medical services.