A Study On Status And Equity Of The Implementation About The Basic Public Health Services In Urban And Rural Areas Of Jiangxi Province

Objective: According to the objective evaluation with fair perspective in the nationalimplementation of basic public health service in2012in Jiangxi Province, feasibleadvice which provides scientific references for effectively carrying out theequalization of basic public health services in Jiangxi Province equalization, is putforward.Methods：In ways of multi-stage sampling, two Community Health Service Centers(Townships) as surveys are stochastic cramped out in each sample district (county)that is extracted from eleven cities. Using systematic sampling method, everyinstitution which is investigated needs to survey seven groups to verify its authenticity,and each group should be extracted ten files. Survey in accordance with per capitaGDP arranged from smallest to largest is divided into11levels, and the concentrationindex is treated as a analytical indicator evaluating fairness. The whole basic publichealth services is comprehensively evaluated applying comprehensive evaluationindex and The concentration Index.Results：1. Health record: urban and rural resident electronic health records (EHR) wereestablished well, and the proportion reached75.63%and64.65%respectively, and theproportion of qualified records were respectively64.09%and67.27%. The value ofindex CI was close to0.2. Health education: The score of implementing health education to urban andrural residents reached86.82%and90.64%respectively. The value of index CI wasclose to0.3. Vaccination: The rate of vaccination card established in cities was99.17%,higher than that in villages. The rate of vaccination reached respectively96.73%and97.10%in cities and villages. The value of CI was close to0.4. Especial people:9and7of12performance indicators of management of especial people did not measure up the standard respectively in cities and villages.The score of the related indicators involving the children of0-6years, pregnantwomen,65years and above elders, hypertensive, diabetic patients in cities was lowerthan that in village. The absolute value of CI of rate of intact visit table of0~6yearsold children and management table of pregnant women were both more than0.2. Theabsolute value of CI of rate of normative health management of serious psychoticpatients was close to0.3, while the CI of other indicators was between-0.1-0.1.5. Infectious diseases and public health emergency supervision: The score offinishing the three work were all between80%to90%. The value of CI was between-0.1to0.1.6. Utilization of Chinese medicine service: The score of utilizing Chinesemedicine service in cities was higher than that in villages, and the value of CI wasclose to0.1.7. Satisfaction and awareness: In the investigation of awareness and satisfaction,the awareness rate and satisfaction rate all reached above80.00%except of theawareness rate of urban residents. The value of CI was close to0.Conclusions:1.Completion of specific indicatorsAfter the implementation of the equalization of basic public health services,especially in rural,the residents of basic public health services cognition rate andsatisfaction rate has increased.Archiving rate of health records, health education,immunization, infectious diseases＆public health emergencies, health supervisionand implementation to achieve the assessment requirements; province added servicesand utilization of Chinese medicine is relatively good. The inadequacies main focusin urban and rural populations，especially0~6years old children management inurban, maternal management falls far short compared to the appraisal standards，ruralpatients with severe mental illness management specification rate,65years of age andolder healthy table complete rate, diabetes rate was slightly lower than the city.2. FairnessEquity in city overall trend positive value, show a progressive condition, suggest that with the development of social economy, health indicator focus on the peoplewith high level income.Fairness in0~6years’ old children and maternal managementare poor relatively. Equity in village overall trend negative values, show a regressivecondition, show with the development of social economy, health indicator focus onthe people with low level income. Fairness in major mental health management ispoor relatively. In a word, the fairness in the city and village is good.