京沪妇女保健政策中敏感指标覆盖程度评价

Assessment of Coverage of Sensitive Indicators in Maternal Health Evaluation System in Beijing and Shanghai

目的:探索定量评价妇女保健政策评价体系中敏感指标覆盖程度的方法,评价北京、上海两地妇女保健政策评价指标设置是否以公众需要为导向。方法:收集北京市、上海市孕产妇保健工作公开文件资料,从中提取并量化相关信息,评价两地敏感指标的覆盖程度,采用相关性分析和单因素回归分析研究敏感指标的覆盖程度与孕产妇死亡率之间的关系。结果:上海市妇女保健政策评价指标中的敏感指标覆盖程度高于北京市(2017年上海87.38%VS北京76.13%);北京市妇女保健的孕产期保健相关评价体系中的敏感指标与孕产妇死亡率呈相关性(P<0.05)。结论:适宜的妇女保健评价指标体系应以公众健康为导向。北京市和上海市妇女保健评价指标体系基本实现以公众需要为导向,但仍需加强评价指标的可行性。本研究采用的定量研究方法具备可行性和可推广性。

Objective: To explore the quantitative method to assess the sensitive index coverage of women health care policies in Beijing and Shanghai. Methods: We collected public documents which issued by governments of Beijing and Shanghai, extracted and quantified information from documents and assessed the sensitive index coverage. The correlation between sensitive index coverage and maternal mortality rate was analyzed by using correlation analysis and regression analysis. Results: The sensitive indexes coverage of two cities are generally low, and Beijing is lower than Shanghai (2017:Shanghai 87.38% VS Beijing 76.13%). There is correlation between sensitive index coverage and maternal mortality rate in maternal health evaluation system in Beijing ( P < 0.05 ). Conclusion: The maternal health evaluation index systems of Beijing and Shanghai is basically oriented to the needs of the public, but the feasibility of evaluating indicators needs to be enhanced. The appropriate evaluation index system for maternal health care system should be public health-oriented and be included in the main health indicators.The methodology to assess the evaluation criteria in this research is feasible and generalizable.