中国卫生状况分类的探讨

Research on the Classification of Health Status in China

本文利用全国第三次人口普查资料,按10%比例随机抽取214个县,根据其社会经济、文化教育及健康状况的17个指标,用特尔菲法筛选出其中9个指标进行主成分分析。将筛选出的三个主成分经最大方差旋转(雅可比旋转)转变成与变量有明确关系的三个分类因子,分别反映人群健康状况、人口结构及经济状况。从因子得分系数得出三个模型,经过 K-means 聚类,将全国农村(县级)共分成四类地区。结果表明,多变量分析法筛选综合分类因子进行卫生状况的分类研究是一个良好的途径;分类结果与实际分布吻合,基本上可以反映社会卫生发展状况,可作为卫生行政部门制订政策和事业发展计划,进行分类指导的客观依据。

In Order to satisfy the needs of the change offuctions and scientific management of the goverment,the authors took out randomly 214 counties from 2138counties in the whole country based on the 3rd nat-ional population census.Three classificate factors,i.ehealth status,population structure and economic,wereseleted by means of multivariate analysis and thenthe scores of the factors were calculated for each co.-unty.Using these scores of each county we implem-ented K-means clustering and the 2138 coutieas weredivided into four groups.The result showed that theranking order of their original values of variates hasobvious grades in diffirent group.The analysis reac-hed the expected porpose of the authors.The resultcan be used in classficate management for goverment.