摘要
目的评价京沪两地妇女保健服务的定量可考核状况及其与孕产妇死亡率的关系,探讨对服务设置定量考核指标的重要意义及其量化评价的可行性。方法在系统收集所有涉及北京市、上海市妇女保健(以下简称“妇保”)相关政策文件的基础上,量化计算妇保服务的定量可考核程度,使用Spearman相关分析和线性回归分析其与孕产妇死亡率的关系。结果京沪两地妇保服务定量可考核程度逐渐改善,北京市从1971年的0上升至2017年的70.0%,上海市从1971年的0上升至2017年的90.0%。两地妇保服务的定量可考核程度与孕产妇死亡率均呈负相关关系,相关系数分别为-0.818、-0.837。结论适宜的妇保体系应通过设立量化考核指标推动服务质量的提升,以满足公众需要。京沪两地妇保服务基本实现定量可考核,且有效发挥了保证服务质量的作用,但北京仍有部分育龄期保健服务尚未设置量化考核指标。同时,对京沪两地的评价结果验证了服务定量可考核程度量化方法基本可行。
Objective To evaluate the quantitative assessment of maternal health services in Beijing and Shanghai and its relationship with maternal mortality,and to explore the significance of the quantitative assessment of service settings and the feasibility of quantitative evaluation.Methods All the policy documents related to maternal health in Beijing and Shanghai were systematically collected.On the basis of these documents,fields were quantified,Spearman correlation and linear regression models were used to analyze the relationship between the quantitative assessment of maternal health services and maternal mortality.Results The quantitative assessment of maternal health services in Beijing and Shanghai has gradually improved,with Beijing rising from 0 to 70.0%,Shanghai rose from 0 to 90.0% between 1971 and 2017.There was a negative correlation between the quantitative assessment of maternal health services and maternal mortality in both places,with correlation coefficients of -0.818 and -0.837,respectively.Conclusion It is suggested that a suitable maternal health care system promote the improvement of service quality by setting up quantitative assessment indicators to meet the health needs of the public.The maternal health services in Beijing and Shanghai are basically quantitatively assessable,and effectively played a role in ensuring the quality of services,but a few quantitative assessment indicators have not been set for health care services of childbearing age in Beijing.At the same time,the evaluation results of Beijing and Shanghai has verified that the quantitative assessment of services is basically feasible.
作者
高翔
王旭
左姣
于明珠
徐天强
郝超
陈政
沈群红
徐凌忠
蒲川
胡志
郝模
李程跃
GAO Xiang;WANG Xu;ZUO Jiao;YU Ming-zhu;XU Tian-qiang;HAO Chao;CHEN Zheng;SHEN Qun-hong;XU Ling-zhong;PU Chuan;HU Zhi;HAO Mo;LI Cheng-yue(Research Institute of Health Development Strategies,Fudan University,Shanghai 200032,China;School of Health Service Administration,Anhui Medical University,Hefei 230032,Anhui China;Collaborative Innovation Center of Social Risks Governance in Health,Shanghai 200032,China;School of Public Health,Xuzhou Medical University,Xuzhou 221004,Jiangsu China;Disease Control and Prevention Branch of China Association of Health Promotion and Education,Shanghai 201821,China;Institute of Inspection and Supervision,Shanghai Municipal Commission of Health and Family Planning,Shanghai 200031,China;Changzhou Center for Disease Control and Prevention,Changzhou 213003,China;Department of Grassroots Public Health Management Group,Public Health Management Branch of Chinese Preventive Medicine Association,Shanghai 201800,China;School of Public Policy and Management,Tsinghua University,Beijing 100084,China;School of Public Health,Shandong University,Jinan 250012,Shandong China;School of Public Health and Management,Chongqing Medical University,Chongqing 400016,China)
出处
《中国卫生资源》
北大核心
2019年第1期11-15,共5页
Chinese Health Resources
基金
国家自然科学基金项目(71774031,71303058)
国家“十二五”科技支撑子项目(2014BAI08B01)
上海市加强公共卫生体系建设三年行动计划(2015年—2017年)项目(GWIV-32)
健康相关重大社会风险预警协同创新中心科研基金
作者简介
高翔,在读博士生,主要从事卫生事业管理与政策研究,E-mail:16111020023@fudan.edu.cn;通信作者:李程跃,E-mail:lichengyue2001@163.com.
