京沪妇保领域研究活跃程度初探

Active degree of researches in the field of maternal healthcare in Beijing and Shanghai

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.