京沪妇女保健财力资源适宜程度分析  

Suitability of financial investment for maternal health care in Beijing and Shanghai:a literature analysis

作　　者：马东平[1,2,3] 尹文强 田壮[3,4] 郑文贵 马安宁 林振平[3,5] 钱东福[3,5] 李程跃 尹爱田 郝模 MA Dong-ping;YIN Wen-qiang;TIAN Zhuang(School of Public Health and Management,Weifang Medical University,Weifang,Shandong Province 261053,China;不详)

机构地区：[1]潍坊医学院公共卫生与管理学院,潍坊261053 [2]“健康山东”重大社会风险预测与治理协同创新中心 [3]健康相关重大社会风险预警协同创新中心 [4]济宁医学院公共卫生学院 [5]南京医科大学医政学院 [6]复旦大学卫生发展战略研究中心 [7]山东大学医药卫生管理学院

出　　处：《中国公共卫生》2020年第10期1471-1473,共3页Chinese Journal of Public Health

基　　金：上海市加强公共卫生体系建设三年行动计划(2015—2017年,GWIV–32);潍坊医学院科技创新团队支持计划(201701);潍坊医学院博士科研启动基金(02177801);潍坊医学院公派教师国内访学项目;“健康山东”重大社会风险预测与治理协同创新中心重点研究方向项目(XT1407004)。

摘　　要：目的分析2000—2017年京沪妇女保健财力资源适宜程度及孕产妇死亡率的变化趋势,明确2地差异,探讨妇女保健财力资源适宜程度。方法收集1995—2017年涉及京沪妇女保健财力投入政府主导问题(202篇)、投入总量问题(205篇)和投入增长问题(122篇)文献,综合投入政府主导适宜程度、投入总量适宜程度、增长适宜程度等3个指标,计算财力资源的适宜程度。运用Spearman相关、线性回归等分析妇女保健财力资源适宜程度与孕产妇死亡率的关系。结果北京妇女保健财力资源适宜程度从2000年的28.40%升至2017年的42.60%,上海则由22.60%升至69.40%,北京和上海的回归方程均有统计学意义(上海P<0.01,北京P<0.05)。结论京沪2地妇女保健财力资源适宜程度逐年提高,上海财力资源在孕产妇死亡率下降中作用更大,但财力投入稳定增长仍是薄弱环节;适宜的妇女保健体系应"政府负责、投入适宜、稳定增长";验证了量化妇女保健财力资源适宜程度的可行性。Objective To analyze the suitability of financial investment for maternal health care(MHC)and changing trend of maternal mortality ratio(MMR)and their regional disparities in Beijing and Shanghai municipality during the period from 2000 through 2017.Methods We retrieved research articles on government predominance in financial investment(n=202),total financial investment(n=205)and increment in the financial investment(n=122)for MHC in Beijing and Shanghai municipality from 1995 to 2017 and assessed the suitability of these investments.Spearman correlation and linear regression analysis were used to analyze the relationship between the financial investment suitability and MMR.Results The indicator for the suitability of financial investment for MHC increased from 28.40%and 22.60%in 2000 to 42.60%and 69.40%in 2017 in Beijing and Shanghai municipality.The regression analyses resulted in a significant correlation between the financial investment suitability and MMR in Shanghai(P<0.01)and Beijing(P<0.05).Conclusion The suitability of financial investment for maternal health care was increased in Beijing and Shanghai but still needs to be improved.The study demonstrates the feasibility of quantitatively evaluating the suitability of financial investment for maternal health care.

关 键 词：妇女保健 财力资源 适宜程度 北京 上海 

分 类 号：R173[医药卫生—妇幼卫生保健]