Impacts of the new medical reform on the equity of women's gynecological examination service utilization: Taking Shaanxi Province as an example / 西安交通大学学报(医学版)

Objective: To study the impacts of the new medical reform on the utilization equity of gynecological examination services for women in economically underdeveloped regions of western China. Methods: Based on the data of the 4th and 5th National Health Service Survey in Shaanxi Province, we used concentration index and decomposition of concentration index to explore the inequality of women's gynecological examination service utilization and its sources; we also used horizontal inequity index to analyze the horizontal equity of the women's gynecological examination service utilization. Results: The concentration index of gynecological examination rate of the women surveyed in 2008 and 2013 was 0.0882 and 0.0640, respectively. The horizontal inequity index was 0.0894 and 0.0463, respectively. The factors that contributed most to the inequality of the women's gynecological examination service utilization were the economic level and contribution which accounted for 54.49% and 61.86%, respectively. Conclusion: The implementation of basic public health and major public health services in the new medical reform policy has increased women's gynecological examinations rate and plays a positive role in improving the equity in utilization of women's gynecological examination services.

Health Outcomes Equity among the People Insured in New Rural Cooperative Medical System in Shaanxi / 中国医学伦理学

Objective:To study the health equity and explore the influencing factors of health inequities among those insured in New Rural Cooperative Medical System and to provide theoretical and factual basis for improvement of medical insurance system through .Method:Using concentration index decomposition to explore the sources of inequity in health outcomes and the degree of horizontal inequity in health outcomes .Results:Economical level leads that the concentration indexes of two week prevalence favor the poor , i.e.the worse the health outcome of the rich is.Economical level leads that the concentration indexes of chronic disease prevalence and self -reported health defective rate favor the rich , i.e.the worse the health outcome of the poor is .Conclusion:Economic level is the primary factors affecting two weeks prevalence , age, culture level, the employment situation is the factors al-leviate health outcomes unfair .Increase people′s economic level and cultural level , improve the situation of em-ployment is important to the health equity .