加权秩和比法综合评价妇幼卫生状况  

COMPREHENSIVE ASSESSMENT ON MATERNAL AND CHILD HEALTH BY WEIGHTED RSR METHOD.

作　　者：吴义丽[1] 李宁秀[1] 任晓晖[1] 杨晓虹[1] 

机构地区：[1]四川大学华西公共卫生学院社会医学教研室,成都610041

出　　处：《现代预防医学》2005年第4期297-299,共3页Modern Preventive Medicine

摘　　要：目的:综合评价四川省秦巴卫生项目实施6年来妇幼卫生状况的动态变化,探索用加权秩和比法确定指标权重,计算综合指标值。方法:对四川省秦巴项目县妇幼卫生调查资料中的1 2个指标进行归一化处理,用处理后的指数值计算分比,结合经验权重系数,计算两大类指标的权重,然后得出项目实施6年来各年的加权秩和比,作出线图。结果:四川省秦巴卫生项目实施6年以来,妇幼卫生的综合状况在逐年提高,项目在该领域取得了较好的效果。项目评价指标有两类:妇幼卫生服务指标和妇幼健康状况指标,两类指标的权重分别为0 . 82 71和0 . 1 72 9;从1 998年项目启动到2 0 0 3年各年的加权秩和比分别为0 .1 6 6 7、0 3 3 3 3、0 . 5 0 0 0、0 . 6 6 6 7、0 . 86 2 1和0 .971 2。结论:运用加权秩和比法综合评价,能较全面的反映妇幼卫生状况,本法既考虑到反映指标实际水平的分比又考虑到经验权重系数。Objective:To evaluate maternal and child health(MCH) in rural areas which are benefited by Qinba Health Project in Sichuan province and to explore weights of MCH indexes by weighted RSR method.Method:12 original indexes from the existed data from 1998 to 2003 were first standardized. Weights of two kinds of indexes and the values of RSRw of 6 years were calculated by analytical hierarchy process(AHP) and rank sum ratio(RSR) method.Results:MCH in rural areas of Sichuan province has been rising year by year since Qinba Health Project were executed in 1998.Two aspects of MCH indexes were health service and health situation, and their weights were 0.8271 and 0.1729. RSRw of each year were 0.1667,0.3333,0.5000,0.6667,0.8621 and 0.9712 respectively.Conclusions:Weighted RSR method can assess MCH comprehensively. This method concern not only experience weights but also SR and its calculation process is simple and convenient.

关 键 词：妇幼卫生状况 加权秩和比法 妇幼卫生服务指标 项目实施 权重系数 归一化处理 2003年 1998年 四川省 动态变化 指标权重 调查资料 数值计算 健康状况 评价指标 计算方法 指标值 项目县 考虑 

分 类 号：R17[医药卫生—妇幼卫生保健] R195.1[医药卫生—公共卫生与预防医学]