从京沪妇保看健康战略对组织体系完善程度的影响

Impact of health strategy on completeness of maternal health care system in Beijing and Shanghai

目的比较健康战略实施前后,京沪两地妇女保健组织体系完善程度的变化情况。方法于2017年系统收集京沪两地所有妇女保健公开文件资料649篇,从中提取并量化相关信息,评价健康战略前后两地妇女保健组织体系完善程度的变化。结果健康战略前后,组织体系完善程度北京市没有发生变化,上海市增加1.6%,其中,组织体系协调权威程度上升8.3%,组织体系健全程度、职责明确程度均没有变化。结论健康战略为组织体系完善带来良好契机;而健康战略颁布后,仅对上海市部门间的协同起到一定的推进作用,两地尚未充分借力健康战略完善组织体系建设。

Objective To compare changes in the completeness of maternal health care organization system in Beijing and Shanghai after the implementation of health strategy.Methods Totally 649 documents and materials on maternal health care issued by administrative agencies of Beijing and Shanghai municipality were retrieved systematically and extensively in 2017.Then we extracted relevant information and analyzed the information quantitatively to assess variations in the completeness of maternal health care organization system in the two municipalities after the implementation of health strategy.Results No obvious change was observed in the index for the completeness of maternal health care organization system in Beijing after the implementation of health strategy;while,the completeness index increased by 1.6% for the organization system in Shanghai,with an increase of 8.3% for the coordination authority of the system and without obvious increases for the soundncss and well-defined responsibilities of the system.Conclusion The initiation of health strategy brings a good opportunity for the completeness of maternal health care organization system;but after the promulgation of the health strategy,only the coordination among health institutions was improved for the organizational system in Shanghai and the support of the health strategy to the construction of maternal health care organization system needs to be fully utilized in both Beijing and Shanghai municipality.