健康战略对京沪妇女保健信息利用提升作用

Promotion effect of health strategy on utilization of information on maternal health care in Beijing and Shanghai

目的分析健康战略发布后京沪妇女保健信息利用有效性的变化幅度,探究健康战略是否对此有提升作用。方法收集2016-2017年京沪政府公开发布的涉及妇女健康的所有相关信息,经过分类评阅后两地共纳入有效资料381份。运用描述性方法对健康战略发布后两地妇女保健领域不同类型信息利用程度进行比较分析。结果健康战略发布后,北京育龄期保健和孕产期保健两个类型的信息利用程度均有提升,妇女保健领域总体由6.93%提升至7.46%,提升幅度为7.6%,上海并未有所提升。具体而言识别妇女健康风险及影响因素程度的变化幅度最大,北京提升幅度为9.9%,上海为1.7%,信息利用的其他方面两地提升均不明显。结论健康战略的发布虽对京沪信息利用产生一定提升效果,如风险识别程度等,但总体提升效果并不显著,主要是由于战略发布时间较短,信息利用方向不明、配套措施不完善,阻碍了主要信息部门对于数据资源的挖掘和利用。

Objective To analyze changes in the improvement in effective utilization of information on maternal health care after the initiation of health strategy in Beijing and Shanghai municipality.Methods We collected a total of 381 materials including statistics,reports,surveillance data,and studies on maternal health published by administrative agencies and professional institutions in Beijing and Shanghai between 2016 and 2017.Descriptive methods were used to compare the utilization of the maternal health-related information in the two municipalities after the initiation of the health strategy.Results The utilization of information on health care during childbearing and pregnant and puer-peral period were improved in Beijing,with an increased ratio for overall utilization of the information of 7.6%,from the utilization index of 6.93% to 7.46% in Beijing municipality;while,no improvement in the information utilization was observed in Shanghai municipality.The most promoted information utilization was observed for the materials about risk factors for maternal health and their influencing factors in both Beijing and Shanghai,with the increased ratio of 9.9% and 1.7% for the utilization indexes and improvements in other aspects of the information were not obvious.Conclusion The initiation of the health strategy is of promotion effect on the utilization of information on maternal health care to a certain extent in Beijing and Shanghai municipality,suggesting that policies related to the strategy needs to be developed and implemented.