运用秩和比法综合评价2015年我国31省市儿童保健工作

Comprehensive evaluation of quality of health care for children with rank sum ratio in 31 provinces,autonomous regions and municipalities of China in 2015

目的分析2015年我国31省市儿童保健相关指标,横向比较各地区间儿童保健状况,为相关政策的制定提供可供参考的依据。方法采用秩和比法对2015年我国31省市儿童保健情况的新生儿访视率、3岁以下儿童系统管理率、7岁以下儿童保健管理率、出生体重<2 500g婴儿比重、围生儿死亡率、5岁以下儿童中重度营养不良比重等6个指标进行综合分析。结果 2015年儿童保健情况较好的省市为江苏、上海、陕西、浙江、北京,较差的省市为河南、广西、青海、海南、新疆、西藏,其余省市均为一般。结论儿童保健情况与该地区经济社会等综合发展水平有关,应进一步加大边缘少数民族地区儿童保健工作,加强低出生体重儿保健工作。

Objective To comprehensively evaluate the national child health care status in 2015,and horizontally compare the quality of children health care in 31 provinces,autonomous regions and municipalities of China,provide reference basis for making policies.Methods Rank sum ratio was used to comprehensively analyze the visit rate of neonates,systematical management rate of children under three years old,health care management rate of children under seven years old,proportion of infants with birth weight less than 2 500 g,mortality rate of perinatal infants and proportion of moderate to severe malnutrition among the children under five years old.Results The situation where children health care was good included Jiangsu,Shanghai,Shanxi,Zhejiang and Beijing.The situation where that was relatively poor contained Henan,Guangxi,Qinghai,Hainan,Xinjiang and Xizang.Besides,the situation where that was relatively common involved the rest provinces,autonomous regions and municipalities.Conclusion The situation of children health care is related to the level of economic development,should further increase the marginal ethnic minority areas and the low birth weight infant health care work.