京沪妇女保健工作定量目标设置状况比较
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摘要
目的比较京沪两地政府在妇女保健工作中定量目标设置范围差异并分析原因,分析其与孕产妇死亡率的相关性并论证其意义。方法收集京沪两地所有妇女保健相关政策文件、法律规制等,根据文件中定量目标的设置情况,计算定量目标设置范围。运用相关、回归方法分析定量目标设置范围与孕产妇死亡率之间的关系。结果截止到2017年,北京市妇女保健定量目标设置范围为70%,上海市定量目标设置范围为90%;京沪两地妇女保健定量目标设置范围与当地孕产妇死亡率之间均呈负相关(r_(北京)=-0. 743,r_(上海)=-0. 802)。结论适宜的妇女保健体系应依据公众需要设置定量工作目标;京沪两地妇女保健定量工作目标设置水平均明显上升,且该指标对孕产妇死亡率有显著影响,验证了该指标量化的可行性。
Objective To compare the differences in the quantitative goals setting scope on maternal health between Beijing and Shanghai,to analyze the correlation between the quantitative goals setting scope and maternal mortality rate( MMR),and to test the reliability and feasibility of the indicator. Methods The research materials of policies and laws on maternal health of Beijing and Shanghai were collected. The quantitative goal setting scope was determined according to whether the indicators were quantitative. Spearman correlation and linear regression were used to analyze the relationship between the scope of quantitative goals setting and maternal mortality. Results By 2017,the quantitative goal setting scope of Beijing was 70%,and the quantitative goal setting scope of Shanghai was 90%. There were negative correlations between the indicators and the MMR both in Beijing and Shanghai( r_(Beijing)=-0. 743,r_(Shanghai)=-0. 802). Conclusions Appropriate maternal health system should fully reflect public health needs and set quantitative goals. The quantitative goals setting level has been increased both in Beijing and Shanghai,which has significant impact on MMR. This indicator can be used to assess the health outcomes of maternal health system.
Objective To compare the differences in the quantitative goals setting scope on maternal health between Beijing and Shanghai,to analyze the correlation between the quantitative goals setting scope and maternal mortality rate( MMR),and to test the reliability and feasibility of the indicator. Methods The research materials of policies and laws on maternal health of Beijing and Shanghai were collected. The quantitative goal setting scope was determined according to whether the indicators were quantitative. Spearman correlation and linear regression were used to analyze the relationship between the scope of quantitative goals setting and maternal mortality. Results By 2017,the quantitative goal setting scope of Beijing was 70%,and the quantitative goal setting scope of Shanghai was 90%. There were negative correlations between the indicators and the MMR both in Beijing and Shanghai( r_(Beijing)=-0. 743,r_(Shanghai)=-0. 802). Conclusions Appropriate maternal health system should fully reflect public health needs and set quantitative goals. The quantitative goals setting level has been increased both in Beijing and Shanghai,which has significant impact on MMR. This indicator can be used to assess the health outcomes of maternal health system.
引文
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[16]课题组.《上海现代化国际大都市公共卫生绩效体系构建》结题报告[R].2018.
[2]邓国胜.公共服务提供的组织形态及其选择[J].中国行政管理,2009(9):125-128.
[3]吴明,李睿.健康需要与需求的概念及测量[J].中国卫生经济,1995(1):44-46.
[4]刘继同.健康需要的基本特点与医疗卫生政策涵义[J].中国卫生事业管理,2005(2):68-69.
[5]袁玲.基于目标管理的绩效考核体系优化研究[D].成都:四川师范大学,2017.
[6]汪卓赟,鲁超,王玉,等.某医学院校建立直属附属医院目标管理考核体系探析[J].中国农村卫生事业管理,2018,38(3):298-300.
[7]郝模,马安宁,王志锋,等.卫生政策学[M].北京:人民卫生出版社,2013.
[8]Ellencweig AY.Analysing health systems:a modular approach[M].Oxford University Press,1992.
[9]刘苗苗,于芳,郑文贵,等.京沪政府关注妇女保健问题范围比较[J].中国农村卫生事业管理,2019,39(2):119-123,138.
[10]张开宁,张桔.21世纪中国女性健康面临的新机遇与挑战[J].云南民族大学学报(哲学社会科学版),2007(4):41-46.
[11]肖扬.近20年中国妇女健康研究的本土化探索[J].妇女研究论丛,2012(3):104-112.
[12]纪颖,张炎,韩俊魁.基于母婴保健的政府主导下公共卫生领域非政府组织发展策略分析[J].医学与社会,2011(4):46-49.
[13]Ramagem C,Ruales J.The essential public health functions as a strategy for improving overall health systems performance:trends and challenges since the public health in the Americas Initiative,2000-2007[R].World Health Organization,2008.
[14]Lomazzi M.A Global Charter for the Public's Healththe public health system:role,functions,competencies and education requirements[J].Eur J Public Health,2016,26(2):210-212.
[15]马艳杰,李靖环.农村留守妇女心理健康服务模式构建的探讨[J].中国农村卫生事业管理,2015,35(9):1185-1187.
[16]课题组.《上海现代化国际大都市公共卫生绩效体系构建》结题报告[R].2018.
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