京沪妇保领域研究活跃程度初探
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摘要
目的评价京沪妇保领域研究活跃程度的变化趋势,分析其与孕产妇死亡率的相关性,借此检验该量化指标的可行性。方法采用普查方法系统收集所有涉及京沪妇保领域的研究文献,尝试量化研究活跃程度。运用Spearman相关、线性回归等分析研究活跃程度与孕产妇死亡率之间的关系。结果北京市妇保领域每万常住人口均文献数量从2000年的2. 48篇上升至2017年的11. 50篇,同期内研究活跃程度也从32. 3%提升至100%;同期内上海市每万常住人口均文献数量从1. 63篇上升至7. 11篇,研究活跃程度则由25. 0%累积提升至68. 9%。京沪孕产妇死亡率与研究活跃程度之间的相关系数分别为-0. 518和-0. 759,具有统计学意义。结论适宜的妇保领域应注重掌握先进的理论与技术;京沪妇保领域研究活跃程度均有明显提升,且对孕产妇死亡率有显著影响,但尚需充分发挥先进技术的带动作用;同时验证了研究活跃程度这一量化指标具有可行性。
Objective To assess the change trend of the active degree of researches( ADR) in the field of maternal and child healthcare( MCH) in Beijing and Shanghai,to analyze the correlation between ADR and maternal mortality rate( MMR),and to finally try the feasibility of ADR in assessing maternal and child healthcare. Methods The census method was used to collect all the research literatures related to the field of maternal and child healthcare in Beijing and Shanghai,and the active degree was studied quantitatively. Spearman correlation and linear regression were used to analyze the relationship between ADR and MMR. Results The number of literatures and documents in MCH in Beijing per 10 000 inhabitants increased from 2. 48 in 2000 to 11. 50 in 2017 and the ADR of Beijing in MCH increased from 32. 3% to 100. 0% in the same period. Also,from 2000 to 2017,the number of literatures and documents in MCH in Shanghai per 10,000 inhabitants increased from 1. 63 to 7. 11 and the ADR of Shanghai in MCH increased from 25. 0% to 68. 9%. The correlation coefficients between MMR and ADR were-0. 518 in Beijing and-0. 759 in Shanghai with significance. Conclusions Appropriate MCH system should focus on the master of advanced theory and technology. The ADR in MCH for both Beijing and Shanghai has improved much,which plays a significant impact on MMR,but it is still necessary to give full play to the leading role of advanced technology. Meanwhile the reliability of ADR has been proved,which can be used to assess the health outcomes of MCH program.
Objective To assess the change trend of the active degree of researches( ADR) in the field of maternal and child healthcare( MCH) in Beijing and Shanghai,to analyze the correlation between ADR and maternal mortality rate( MMR),and to finally try the feasibility of ADR in assessing maternal and child healthcare. Methods The census method was used to collect all the research literatures related to the field of maternal and child healthcare in Beijing and Shanghai,and the active degree was studied quantitatively. Spearman correlation and linear regression were used to analyze the relationship between ADR and MMR. Results The number of literatures and documents in MCH in Beijing per 10 000 inhabitants increased from 2. 48 in 2000 to 11. 50 in 2017 and the ADR of Beijing in MCH increased from 32. 3% to 100. 0% in the same period. Also,from 2000 to 2017,the number of literatures and documents in MCH in Shanghai per 10,000 inhabitants increased from 1. 63 to 7. 11 and the ADR of Shanghai in MCH increased from 25. 0% to 68. 9%. The correlation coefficients between MMR and ADR were-0. 518 in Beijing and-0. 759 in Shanghai with significance. Conclusions Appropriate MCH system should focus on the master of advanced theory and technology. The ADR in MCH for both Beijing and Shanghai has improved much,which plays a significant impact on MMR,but it is still necessary to give full play to the leading role of advanced technology. Meanwhile the reliability of ADR has been proved,which can be used to assess the health outcomes of MCH program.
引文
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[25]王朝,武明辉,蒋京伟,等.北京市区级妇幼保健机构群体信息管理人员配置现状分析[J].中国公共卫生管理,2015(2):167-169.
[2]李鲁,姜润生.社会医学[M].北京:人民卫生出版社,2013.
[3]肖绍博.试论科学技术在中国人口与健康领域的战略地位[J].中国计划生育学杂志,2002(z1):15-16.
[4]杨琦,黄爱群,金曦,等. 2008年度全国妇幼保健机构科研现状分析[J].中国妇幼卫生杂志,2011(1):33-36.
[5]蒲杰,张彤,梁家智.妇幼公共卫生体系的再认识[J].中国妇幼健康研究,2010(3):288-291.
[6]北京市卫生计生委信息中心.北京市卫生计生事业发展统计公报[EB/OL].[2018-05-03]. http://xxzx. bjchfp. gov. cn/tonjixinxi/weishengtongjigongbao/.
[7]上海市卫生和计划生育委员会.上海卫生计生数据[EB/OL].[2018-05-03]. http://www. wsjsw.gov. cn/tjsj2/index. html.
[8]北京市统计局,国家统计局北京调查总队.北京统计年鉴-2017[M].北京:中国统计出版社,2017.
[9]国家统计局,上海市统计局上海调查总队.上海统计年鉴-2017[M].北京:中国统计出版社,2017.
[10]邹广文.互联网时代的文化传承与创新[J].理论视野,2016(7):5-8.
[11]李立明,姜庆五.中国公共卫生理论与实践[M].北京:人民卫生出版社,2015.
[12]杨多贵,周志田.国家健康报告[M].北京:科学出版社,2013.
[13]毛汉文,顾琴龙,王维林,等.上海医学科研机构现状调查及分析[J].中华医学科研管理杂志,2010(6):370-372,390.
[14]崔丽萍,徐国桓.北京市1999年医药卫生科研成果重点介绍[J].医学研究通讯,2001(3):27-29.
[15]刘晖,谷华. 2001-2005年度上海市卫生局科研基金项目申请与资助情况回顾分析[J].中华医学科研管理杂志,2006,19(5):281-283.
[16]郝模.卫生政策学[M].北京:人民卫生出版社,2013.
[17] Ellencweig AY. Analyzing Health Systems:A Modular Approach[M]. London:Oxford University,1992.
[18]廖辉,梁家智,钱萍,等.妇幼保健人员科研能力评价体系的建立与实践[J].中华医学会第十三次全国医学科学研究管理学学术会议暨2012第四届全国医学科研管理论坛[C].海口,2012.
[19]张迅,梁家智,邹琴,等.提高基层妇幼保健机构临床科研水平的策略[J].中国妇幼保健,2008(26):3656-3657.
[20]课题组.《上海现代化国际大都市公共卫生绩效体系构建》[R]. 2018.
[21]郝模,李程跃,于明珠,等.新时代公共卫生体系的思考与研究[J].上海预防医学,2017(12):905-910.
[22]健康相关重大社会风险预警协同创新中心.三年行动计划研究简报——一流的公共卫生体现及其定位[EB/OL].[2018-09]. http://srghealth. fudan.edu. cn/.
[23]王秋宇,常文虎.北京市区县妇幼保健机构财务状况综合分析[J].中华医院管理杂志,2007(6):361-365.
[24]尚晓瑞,韩历丽,潘迎,等. 2013年北京市区县妇幼保健机构基本情况分析[J].中国妇幼健康研究,2016(2):273-276.
[25]王朝,武明辉,蒋京伟,等.北京市区级妇幼保健机构群体信息管理人员配置现状分析[J].中国公共卫生管理,2015(2):167-169.