山东省预防接种服务可及性的公平性研究.

Objective To evaluate the fairness of vaccination services in Shandong Province, and to provide a basis for further adjusting and optimizing the rational allocation of vaccination institutions and human resources. Methods The comprehensive management data in the immunization planning system of Shandong Province were used to analyze the service accessibility of vaccination institutions and personnel, and the fairness was analyzed by Gini coefficient and Theil index. Results There were 2 422 vaccination institutions in Shandong Province, with a total of 19 497 vaccination personnel, with an average of 42 000 persons per vaccination institution and 5 200 persons per vaccination personnel. The Gini coefficient of service accessibility of vaccination institutions and vaccination personnel in the province was 0.245 and 0.243, respectively, at the "relatively average" level. The Gini coefficient of service accessibility of vaccination personnel in Jinan, Dongying, and Liaocheng was more than 0.4, which was at the level of "big gap". The Theil index of service accessibility of vaccination institutions and vaccination personnel in the province was 0.000779 and 0.045370, respectively. The difference among cities was mainly due to the uneven distribution of resources among counties and districts. Conclusion The allocation of vaccination institutions in Shandong Province is reasonable, but the allocation of vaccination personnel needs to be strengthened and optimized, especially within different counties. [ABSTRACT FROM AUTHOR]