“新农合”政策对陵水黎族自治县妇幼保健状况的影响

Impact of new rural cooperative medical system on the maternal and child's healthcare status in Lingshui county

目的:探讨陵水黎族自治县(陵水县)新型农村合作医疗制度("新农合")政策实施对妇幼保健状况的影响。方法:收集陵水县2000～2010年间的妇幼保健监测指标,使用中断时间序列(interrupt time series,ITS)模型进行分析。结果:2000～2010年间,除"低出生体重发生率"外,其余各项指标均有不同程度改善。新生儿窒息死亡率、住院分娩率、7岁以下儿童保健管理率、农村消毒接生率、婚前医学检查率5项指标的水平和/或斜率的变化差异有统计学意义(P<0.05),可分别建立回归方程。结论:陵水县实施新农合政策后多项妇幼保健指标均得到显著提升。

Objective：To discuss the impact of New Rural Cooperative Medical System（NRCMS） on the maternal and child＇s healthcare status in Lingshui county.Methods：The maternal and child＇s healthcare surveillance data from 2000 to 2010 in Lingshui county were collected and analyzed by interrupt time series（ITS） model.Results：All surveillance indices were improved during 2000 to 2010,except the rate of low birth weight.The level and/or slope changes of suffocation death rate of newborns,hospital delivery rate,healthcare management rate of children under seven,rural sterilized midwifery rate,and premarital medical examination rate were statistically significant（P0.05） and regression models were established.Conclusion：The maternal and child healthcare status in Lingshui county is significantly improved after the implementation of NRCMS.