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首页> 外文期刊>BMC Health Services Research >Prioritizing the perceived equity of the residents to construct an equitable health care system: evidence from a national cross-sectional study in China
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Prioritizing the perceived equity of the residents to construct an equitable health care system: evidence from a national cross-sectional study in China

机译：优先考虑居民的股权，构建公平的医疗保健系统：来自中国国家横断面研究的证据

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BACKGROUND:Building an equitable health care system involves both the promotion of social justice in health and people's subjective perception of the promotion. This study aimed to analyze the overall status and associated factors of the perceived equity of the Chinese health care system, and then to offer policy recommendations for health care reform.METHODS:Information on the perceived equity score (scale 0 to 10) of 10,243 valid cases in total were derived from the data set of Chinese Social Survey 2015. Univariate analysis methods were applied to present respondents' overall perceived equity of the Chinese health care system. Multivariate linear regression method was used to explore the associated factors of the perceived equity and examine their independent effect.RESULTS:The respondents gave positive but relatively low marks (6.7?±?2.6, 95% CI: = 6.64~6.74) of the equity of the Chinese health care system. Younger respondents reported a higher score of perceived equity than their elder counterparts (β?=?-?0.132, 95% CI: -?0.203~?-?0.062, P??0.001). Respondents with lower education level were significantly more likely to consider the Chinese health care system equitable (β?=?-?0.104, 95% CI: -?0.153~?-?0.056, P??0.001). Respondents satisfied with the Social Health Insurance reimbursement ratio tended to score the system higher in the survey (β?=?0.044, 95% CI: 0.024~0.063, P??0.001). Respondents residing in eastern China and rural areas were significantly more likely to consider the Chinese health care system equitable (β?=?-?0.268, 95% CI: -?0.338~ -?0.199, P??0.001). Meanwhile, rural respondents reported higher scores of the perceived equity than urban respondents did (β?=?0.348, 95% CI: 0.237~0.458, P??0.001). Respondents from regions with adequate GPs scored the system higher in this survey (β?=?0.087, 95% CI: 0.008~0.165, P??0.001). The present study found no influence of gender, economic status, Social Health Insurance coverage, or satisfaction with the latest treatment on perceived equity.CONCLUSIONS:Eliminating the sense of inequity among a range of populations should be prioritized in health care reform. A national-level investigation system to rate residents' perceived equity was necessary for global health care reform.
机译：背景：建立公平的医疗保健系统涉及促进健康和人民对促进的主观看法的促进。本研究旨在分析中国卫生保健系统的股权的整体地位和相关因素，然后为医疗保健改革提供政策建议。方法：关于感知股权评分的信息（规模为0到10），共10,243名有效总共案件来自2015年中国社会调查的数据集。非变量分析方法被应用于呈现出中国医疗保健系统的受访者的整体感知股权。多变量线性回归方法探讨了感知权益的相关因素，并检查其独立效应。结果：受访者的阳性但相对较低的标记（6.7？±2.6,95％CI：= 6.64〜6.74）的公平中国医疗保健系统。年轻的受访者报告了比他们的年长的对应物（β=？ - α - 0.132,95％CI： - α0.203 ~~~~~~~~~~~~~~~~~~~~~受教育水平降低的受访者更有可能考虑中国医疗保健系统公平（β=？ - ？0.104,95％CI： - ？0.153〜？ - 0.056，P？<0.001）。受访者对社会健康保险报销比率感到满意，倾向于在调查中得分更高的系统（β=？0.044,95％CI：0.024〜0.063，P？<0.001）。居住在中国东部和农村地区的受访者更有可能考虑中国医疗保健系统公平（β=？ - ？0.268,95％CI： - ？0.338〜 - ？0.199，p？<0.001）。与此同时，农村受访者报告了比城市受访者所做的公平更高的得分（β？=？0.348,95％CI：0.237〜0.458，P？<0.001）。来自地区的受访者具有足够的GPS，在该调查中得分更高（β？= 0.087,95％CI：0.008〜0.165，P？<0.001）。目前的研究发现，与对感知公平的最新疗法的性别，经济状况，社会健康保险范围或满意度没有影响.Conclusions：消除一系列群体之间的不公平感应优先于医疗保健改革。全球卫生保健改革是必要的，为居民感知股权进行国家一级调查制度。

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