从妇女保健看京沪健康战略对经济环境支撑的改善

Improvement effect of health strategy on economic environment support to maternal health care in Beijing and Shanghai

目的分析京沪两地健康战略对外部经济环境资源优先保障的支撑改善状况,并探讨其定量表达方法,比较其差异并论证其重要意义。方法于2017年,遵循"系统"和"穷尽"的原则,系统收集国家和京沪两地健康优先战略及公开发布的与妇保相关的政策文件共649份,从中提取信息并综合量化形成"经济环境对健康优先的支撑程度",使用Excel 2013对数据进行摘录、整理并建立数据库,运用横向、纵向比较分析京沪两地健康战略对经济环境支撑程度的改善状况及两个城市间的差异。结果京沪两地健康战略的颁布使得两地经济环境对健康优先的总体支撑程度由0.0%分别提高到为42.1%(上海)和54.8%(北京),北京高于上海。结论健康战略对妇保领域经济环境支撑健康优先的改善初步显现,适宜的妇保体系应围绕健康战略根据职责分工优先配置资源的投入,经济环境支撑健康优先的进一步提升亟待健康战略的落实,本研究对经济环境支撑程度的量化方法科学可行。

Objective To analyze the improvement effect of health strategy on external economy environment support to maternal health care in Beijing and Shanghai-the two cities with the implementation of health priority strategy in2016 and 2017 and to explore the method of quantitative assessment on and between-city disparity in the improvement effect.Methods Totally 649 policy documents on health priority and maternal health care issued by China government and the two cities’administrative agencies were systematically and extensively retrieved.Using Excel 2013,we organized all the documents and extracted relevant information to set a database to quantitatively assess the support extant of economic environment on maternal health care;we also analyzed differences in the improvement effect of health strategy on economic environment support to maternal health care between the two cities.Results The index for overall support of the promulgation of the health priority strategy on economic environment support to maternal health care increased from 0.0% to 42.1% in Shanghai and to 54.8% in Beijing,indicating a stronger support of health strategy on maternal health care in Beijing than that in Shanghai.Conclusion There is a preliminary improvement in health strategy support on maternal health carerelated economic environment in Beijing and Shanghai.An efficient maternal health care system should allocate health resources according to defined healthcare responsibilities for the implementation of health strategy.The study highlights the feasibility for quantitative assessment on economic environment support to maternal health care.