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基于人口年龄性别结构的基本公共卫生服务需求量的核算预测

摘要

Objective To investigate regional demand volume for basic public health services based on age - gender population structure,in order to provide references for the rational allocation of medical resources. Methods Based on 13 categories and 109 items of basic public health services developed in Pudong New Area of Shanghai in 2011,109 items were divided into 232 items which were not included and repeated according to the principle of labour voucher,and weight,value and adjustment coefficient were complemented referring to relevant literature. Population data of 50 villages/ residential committees of Huinan Town by the end of 2013 were collected from Huinan Community Health Center in Pudong New Area of Shanghai,and grouping statistics was conducted by gender,age and village/ residential committee. On the basis of above work,total demand volume and the real value of standard workpoints of basic public health services of each village/ residential committee of Huinan Town in 2014 were estimated using the principle of labor voucher. Results At the end of 2013,the average age of people with local household registration in 50 villages/ residential committees was 43. 62 years old,and the male to female proportion was 0. 97: 1(56 008: 57 861). The total demand volume for basic public health service in Huinan Town in Pudong New Area of Shanghai in 2014 was 18 093 257. 58 workpoints;Yongle Village had the highest workpoints which was 879 525. 38,and Xicheng Residential Committee had the lowerst workpoints which was 28 285. 34. The estimation of the real value of standard workpoints of each village/ residential committee in Huinan Town in 2014 showed that the actual value of one standard workpoint of Huinan Town was 0. 338 0 yuan;Mingguang Village had the highest value which was 0. 344 9 yuan;Dangwan Residential Committee had the lowest value which was 0. 330 2 yuan. Conclusion Great differences exist in demand volume for basic public health services among different villages/ residential committees. Based on age - gender population structure,regional demand for basic public health services could be more accurately estimated. With the application of the principle of labour voucher, mechanism could be built for different services to guide the supply of service providers.%目的:基于人口年龄性别结构,探讨区域基本公共卫生服务的需求量,以期为医疗资源合理配置提供依据。方法基于上海市浦东新区2011年拟定的13大类、109项基本公共卫生服务项目,依据工分制原理的应用条件,将109项拆成了没有包含和重复的232项,并查阅相关文献补充项目权重、项目分值和调节系数;从上海市浦东新区惠南社区卫生服务中心收集2013年底惠南镇50个村/居委的人口数据,按性别、年龄、村/居委分组统计。在此基础上,运用工分制原理估算2014年惠南镇各村/居委的基本公共卫生服务总需求量和标准工分实际价值。结果2013年底惠南镇50个村/居委的本地户籍人口平均年龄为43.62岁,男女比例为0.97:1(56008:57861)。2014年上海市浦东新区惠南镇基本公共卫生服务总需求量为18093257.58工分,其中永乐村最高,为879525.38工分;西城居委最低,为28285.34工分。2014年惠南镇各村/居委的标准工分实际价值估算结果显示,当前惠南镇1个标准工分的实际价值为0.3380元,其中明光村最高,为0.3449元;荡湾居委最低,为0.3302元。结论各村/居委对基本公共卫生服务的需求量存在较大差异,基本公共卫生服务与人口年龄性别结构相衔接,可以更为准确地定位区域基本公共卫生服务需求量,且在工分制核算方法的应用下,可以在不同服务之间建立机制以引导服务供方的供给。

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