TOPSIS法综合评价福建省群体儿童保健工作质量  

Comprehensive evaluation of the quality of children′s group health care in Fujian province by using TOPSIS Method

作　　者：黄欣欣[1] 欧萍[1] 薛小凌[1] HUANG Xin-xin;OU Ping;XUE Xiao-ling(Fujian Provincial Maternity and Children Hospital,Affiliated Hospital of Fujian Medical University,Fuzhou,350001,China)

机构地区：[1]福建省妇幼保健院福建医科大学附属医院保健部

出　　处：《中国预防医学杂志》2019年第8期657-661,共5页Chinese Preventive Medicine

基　　金：中国疾病预防控制中心妇幼保健中心儿童早期发展适宜技术研究项目(2017FYE007);福建省自然科学基金资助项目(2016J01490);福建省妇幼保健院院内科研资助课题(妇保院研17-05)

摘　　要：目的收集福建省儿童保健工作相关数据,选择关键指标,计算综合得分,从中寻找薄弱环节,为儿童保健工作决策提供参考。方法采用全人口调查的方法,综合评价福建省2008-2016年群体儿童保健工作的质量及优劣程度,以《福建省妇幼卫生年报》中儿童保健工作的数据为基础来源,经过文献检索、专家咨询,提取全省儿童群体保健工作质量的若干关键指标,运用TOPSIS法进行2008-2016年纵向及2016年各地市横向综合评价,并计算增长与发展速度。结果2008-2016年福建省儿童保健工作相对接近度(Ci)分别为0.275、0.185、0.467、0.483、0.510、0.555、0.708、0.830、0.832,(χ^2趋势=7.352,P=0.007);2016年定基比增长速度(202.545)与定基比发展速度(302.545)均最大,2010年环比增长速度最大(152.432),2016年环比增长速度最小(0.241)。2010年环比发展速度最大(252.432),2009年环比发展速度最小(67.273)。2016年Ci值最低的龙岩市(0.315)仅达到Ci值最高的福州市(0.653)的48.24%。结论福建省群体儿童保健工作呈逐年上升的趋势,但是上升趋势减缓,地区间发展不平衡。应重视对欠发达地市的政策扶持,根据各地市特点,采取有针对性的措施,促进区域间儿童保健服务的可及性与公平性;调节并制定相关政策与计划,提高儿童群体保健服务质量。Objective We collect relevant data of child health care in Fujian Province from 2008 to 2016,select key indicators and calculate comprehensive scores,to evaluate the quality and quality of children′s group health care work in our province from 2008 to 2016,to find the weak link and to provide reference for the decision-making of children′s health care work.Methods We used A full population survey method,based on the annual report on maternal and child health in Fujian Province,through literature search,collected expert consultation the key indicators of the quality of children′s health care work in the province over the past 2008-2016 years:①neonatal screening rate②neonatal visit rate③detection rate of high-risk infants④proportion of low birth weight infants⑤breastfeeding rate⑥system management rate for children under 3 years of age⑦Prevalence of moderate and severe anemia in children under 5 years of age⑧under-5 mortality rate⑨health management rate for children under 7 years of age.Use the TOPSIS method to carry out 2008-2016 year longitudinal and 2016 horizontal comprehensive evaluation,and calculate the growth rate and speed of development.Results From 2008 to 2016 child care work Ci were 0.275,0.185,0.467,0.483,0.510,0.555,0.708,0.830,0.832;The trend of 2=7.352,P=0.007;2016 fixed base growth rate(202.545)and a fixed base development speed(302.545)were the largest,in 2010,the largest growth rate(152.432),2016(0.241)the minimum growth rate.The fastest development rate was in 2010(252.432)and the lowest in 2009(67.273).Conclusions The index of children health care is increasing year by year,but the rising trend slows down,the uneven development between regions,we should pay attention to the less developed city policy support,according to the characteristics of each city,Promoting the accessibility and fairness of children′s health care services among regions,adjusting and formulating relevant policies and plans to improve the quality of children′s health care services.

关 键 词：群体儿童保健 综合评价 TOPSIS法 增长速度 发展速度 

分 类 号：R179[医药卫生—妇幼卫生保健]