中国全科医学2016，Vol.19Issue(10)：1194-1198,5.DOI:10.3969/j.issn.1007-9572.2016.10.018
孕产妇孕期保健服务利用受益归属分析
Benefit Incidence Analysis of Health Service in Pregnancy
摘要
Abstract
Objective To investigate the benefited populations and the level of benefit of health service in pregnancy by using benefit incidence method. Methods In August 2010,we enrolled 2 021 women who had delivery 42 days to 6 months ago,using multi - stage stratified sampling method. Survey was conducted using a self - designed questionnaire covering basic information and the utilization status of antenatal health care services. A total of 1 945 women who finished effective questionnaires were enrolled. Benefit incidence analysis on the utilization of antenatal care was conducted using utilization - demand ratio, concentration index and Kakwani index. Results The card registration rate in early pregnancy was 49. 8% (968 / 1 945),the card utilization rates in middle pregnancy and late pregnancy were 50. 3% ( 978 / 1 945 ) and 49. 8% ( 968 / 1 945 ) respectively. At early,middle and late stage of pregnancy,there were significant differences in the utilization rate of each antenatal care item among pregnant women of different living areas(urban and rural),ages,educational degrees,yearly family incomes(P < 0. 05). With urban pregnant women as reference population,the utilization - demand ratio of antenatal care among rural pregnant women was 0. 71 - 0. 87. With pregnant women at ages 25 - 29 as reference population,the utilization -demand ratio of antenatal care among pregnant women at ages 30 - 34 was 0. 93 - 1. 04,and that among pregnant women at ages≥35 was 0. 71 - 0. 90. With pregnant women with educational degrees of high school/ technical secondary school as reference population,the utilization - demand ratio of antenatal care among pregnant women with educational degree of primary school or below was 0. 29 - 0. 76,and that among pregnant women with educational degree of junior middle school was 0. 74 - 0. 89,and that among women with education degree of junior college or above was 1. 03 - 1. 17. The concentration index was positive value and the Kakwani index was negative value for the pregnant care on all the included pregnant women with different yearly incomes. Conclusion The current utilization of antenatal care is at middle level,and the card registration rate at early pregnancy and the card utilization rate at middle and late pregnancy are low. The level of benefit from antenatal care is high among pregnant women from urban area,at ages 25 - 34,with high educational degree and low yearly family incomes.关键词
产妇卫生保健服务/利用情况审核/受益归属分析Key words
Maternal health services/Utilization review/Benefit incidence analysis分类
医药卫生引用本文复制引用
刘田丽,徐东,崔楠,张慧,于贞杰..孕产妇孕期保健服务利用受益归属分析[J].中国全科医学,2016,19(10):1194-1198,5.基金项目
2014年度教育部人文社会科学研究一般项目（14YJAZH101）；山东省自然科学基金资助项目 （）
