我国妇幼保健服务开展现状及质量评价
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摘要
目的分析我国妇幼保健服务开展现状,同时对其服务质量进行综合评价,为后期妇幼保健服务的调整提供基础性参考。方法以2005-2014年《中国卫生和计划生育年鉴》和《中国统计年鉴》中妇幼保健服务相关指标为原始资料,对我国及各省市的妇幼保健服务开展现状进行描述和分析;同时采用TOPSIS和RSR法对妇幼保健服务质量进行评价。结果 2005-2014年全国妇幼保健质量逐年提升,Ci值从2005年的0.018 9上升到2014年的0.989 4。我国妇幼保健服务质量地区差异明显,其中浙江、江苏、上海等地服务质量较好,西藏、安徽等地较差。结论 2005-2014年我国总体妇幼保健服务水平逐年提升且服务质量显著提高,但各地区差异明显,部分地区妇幼保健服务水平和质量亟待提升。
Objective To analyze the current situation of maternal and child health care services in China,comprehensively evaluate service quality,provide a basic reference for maternal and child health care services in the later period.Methods The data from China's Health And Family Planning Statistical Yearbook and China Statistical Yearbook from 2005 from 2014 were collected,the current situation of maternal and child health care services in China was described and analyzed.TOPSIS method and RSR method were used to evaluate service quality of maternal and child health care services.Results From 2005 to 2014,the quality of maternal and child health care services increased year by year,Ci value increased from 0.0189 in 2005 to 0.9894 in 2014.The regional difference of quality of maternal and child health care services in China was significant.The quality of maternal and child health care services in Zhejiang,Jiangsu,and Shanghai was good,while the quality of maternal and child health care services in Tibet and Anhui was poor.Conclusion From 2005 to 2014,the level and quality of maternal and child health care services increased significantly in China,but the difference was still significant among different areas.The level and quality of maternal and child health care services in some areas needs to be improved urgently.
Objective To analyze the current situation of maternal and child health care services in China,comprehensively evaluate service quality,provide a basic reference for maternal and child health care services in the later period.Methods The data from China's Health And Family Planning Statistical Yearbook and China Statistical Yearbook from 2005 from 2014 were collected,the current situation of maternal and child health care services in China was described and analyzed.TOPSIS method and RSR method were used to evaluate service quality of maternal and child health care services.Results From 2005 to 2014,the quality of maternal and child health care services increased year by year,Ci value increased from 0.0189 in 2005 to 0.9894 in 2014.The regional difference of quality of maternal and child health care services in China was significant.The quality of maternal and child health care services in Zhejiang,Jiangsu,and Shanghai was good,while the quality of maternal and child health care services in Tibet and Anhui was poor.Conclusion From 2005 to 2014,the level and quality of maternal and child health care services increased significantly in China,but the difference was still significant among different areas.The level and quality of maternal and child health care services in some areas needs to be improved urgently.
引文
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[8]刘玉洁.孕产妇系统保健与围产儿死亡分析[J].现代预防医学,2012,39(23):6162-6163,6166.
[9]田甜,李军.西藏地区孕产妇死亡率变化趋势及影响因素分析[J].中国卫生统计,2015,32(2):281-282.
[10]张涛,孙立奇,李书婷,等.2010年~2014年我国妇幼保健服务的公平性研究[J].中国卫生事业管理,2017,34(4):268-270.
[11]汪金鹏,金曦,宋莉,等.我国妇幼保健机构保健服务开展现状研究[J].中国妇幼保健,2014,29(34):5555-5558.
[12]朱金丽,高瑞红,刘广美,等.北京市大兴区流动人口妇幼保健服务现状及影响因素分析[J].中国妇幼保健,2010,25(5):587-589.
[2]杨永利.应用TOPSIS法和RSR法实施厂矿医院综合效益评价的研究[D].沈阳:中国医科大学,2006.
[3]张寒,郑文贵,李向云.基于TOPSIS法与RSR法的山东省妇幼保健工作质量综合评价[J].中国妇幼保健,2016,31(12):12-16.
[4]罗荣,金曦,杨琦,等.TOPSIS法与RSR法相结合对省级妇幼保健机构综合绩效评价[J].中国妇幼保健,2008,23(18):2558-2561.
[5]马永红,曹莹.利用加权秩和比法评价我国妇幼卫生状况[J].实用预防医学,2014,21(4):466-468.
[6]贾丽华.秩和比法在妇幼保健量化管理工作中的应用[J].卫生软科学,2011,25(7):468-470.
[7]梁芳,李芝兰,杨言军.兰州市2005-2014年孕产妇保健服务与孕产妇死亡的变化趋势[J].中国妇幼保健,2015,30(30):5093-5095.
[8]刘玉洁.孕产妇系统保健与围产儿死亡分析[J].现代预防医学,2012,39(23):6162-6163,6166.
[9]田甜,李军.西藏地区孕产妇死亡率变化趋势及影响因素分析[J].中国卫生统计,2015,32(2):281-282.
[10]张涛,孙立奇,李书婷,等.2010年~2014年我国妇幼保健服务的公平性研究[J].中国卫生事业管理,2017,34(4):268-270.
[11]汪金鹏,金曦,宋莉,等.我国妇幼保健机构保健服务开展现状研究[J].中国妇幼保健,2014,29(34):5555-5558.
[12]朱金丽,高瑞红,刘广美,等.北京市大兴区流动人口妇幼保健服务现状及影响因素分析[J].中国妇幼保健,2010,25(5):587-589.