摘要
目的评价京沪妇保领域研究活跃程度的变化趋势,分析其与孕产妇死亡率的相关性,借此检验该量化指标的可行性。方法采用普查方法系统收集所有涉及京沪妇保领域的研究文献,尝试量化研究活跃程度。运用Spearman相关、线性回归等分析研究活跃程度与孕产妇死亡率之间的关系。结果北京市妇保领域每万常住人口均文献数量从2000年的2. 48篇上升至2017年的11. 50篇,同期内研究活跃程度也从32. 3%提升至100%;同期内上海市每万常住人口均文献数量从1. 63篇上升至7. 11篇,研究活跃程度则由25. 0%累积提升至68. 9%。京沪孕产妇死亡率与研究活跃程度之间的相关系数分别为-0. 518和-0. 759,具有统计学意义。结论适宜的妇保领域应注重掌握先进的理论与技术;京沪妇保领域研究活跃程度均有明显提升,且对孕产妇死亡率有显著影响,但尚需充分发挥先进技术的带动作用;同时验证了研究活跃程度这一量化指标具有可行性。
Objective To assess the change trend of the active degree of researches(ADR)in the field of maternal and child healthcare(MCH)in Beijing and Shanghai,to analyze the correlation between ADR and maternal mortality rate(MMR),and to finally try the feasibility of ADR in assessing maternal and child healthcare.Methods The census method was used to collect all the research literatures related to the field of maternal and child healthcare in Beijing and Shanghai,and the active degree was studied quantitatively.Spearman correlation and linear regression were used to analyze the relationship between ADR and MMR.Results The number of literatures and documents in MCH in Beijing per 10 000 inhabitants increased from 2.48 in 2000 to 11.50 in 2017 and the ADR of Beijing in MCH increased from 32.3%to 100.0%in the same period.Also,from 2000 to 2017,the number of literatures and documents in MCH in Shanghai per 10,000 inhabitants increased from 1.63 to 7.11 and the ADR of Shanghai in MCH increased from 25.0%to 68.9%.The correlation coefficients between MMR and ADR were-0.518 in Beijing and-0.759 in Shanghai with significance.Conclusions Appropriate MCH system should focus on the master of advanced theory and technology.The ADR in MCH for both Beijing and Shanghai has improved much,which plays a significant impact on MMR,but it is still necessary to give full play to the leading role of advanced technology.Meanwhile the reliability of ADR has been proved,which can be used to assess the health outcomes of MCH program.
作者
徐凌忠
夏宇
李程跃
吴群红
尹文强
张春芝
方鹏骞
郝超
徐天强
钱东福
李士雪
郝模
XU Lingzhong;XIA Yu;LI Chengyue;WU Qunhong;YIN Wenqiang;ZHANG Chunzhi;FANG Pengqian;HAO Chao;XU Tianqiang;QIAN Dongfu;LI Shixue;HAO Mo(School of Public Health,Shandong University,Shandong 250012,China;Research Institute of Health Development Strategies,Fudan University,Shanghai 200032,China;School of Public Health,Harbin Medical University,Harbin,Heilongjiang 150081,China;School of Public Health and Management,Weifang Medical University,Weifang,Shandong,261053,China;School of Public Health,Jining Medical University,Jining,Shandong 272067,China;School of Medicine and Health Management of Tongji Medical College,Huazhong University of Science and Technology,Wuhan,Hubei 430030,China;Changzhou Center for Disease Control and Prevention,Changzhou Jiangsu 213003,China;Institute of Inspection and Supervision,Shanghai Municipal Commission of Health and Family Planning,Shanghai 200031,China;School of Health and Management,Nanjing Medical University,Nanjing,Jiangsu 211166,China;Collaborative Innovation Center of Social Risks Governance in Health,Fudan University,Shanghai 200032,China)
出处
《中国农村卫生事业管理》
2019年第3期175-180,共6页
Chinese Rural Health Service Administration
基金
上海市加强公共卫生体系建设三年行动计划(2015年-2017年)项目(GWIV-32)
国家自然科学基金项目(71673169
71673170)
健康相关重大社会风险预警协同创新中心科研基金
关键词
妇保领域
研究活跃程度
孕产妇死亡率
北京
上海
Field of maternal healthcare
Active degree of research
Maternal mortality rate
Beijing
Shanghai