京沪妇女保健财力投入增长程度比较  

Increment of financial investment in maternal health care in Beijing and Shanghai:a comparison 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12期1793-1795,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年-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投入增长不足严重程度及孕产妇死亡率变化趋势,明确2地差异,探讨妇女保健财力投入增长适宜程度。方法收集1995—2017年涉及京沪妇女保健财力投入增长问题的122篇文献,摘录财力投入增长不足问题的相关表述,计算严重程度评分。运用Spearman相关、线性回归等分析妇女保健财力投入增长不足严重程度与孕产妇死亡率的关系。结果北京妇女保健财力投入增长不足严重程度从2000年的3.61分降至2017年的3.05分,上海则由4.00分降至1.79分,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地妇女保健财力投入增长程度逐年提高,上海财力投入增长在孕产妇死亡率下降中影响更大,但增长的稳定性有待进一步加强;适宜的妇女保健体系应"投入稳定增长:以制度保障稳定增长";验证了量化妇女保健财力投入增长程度的可行性。Objective To analyze the extent of deficit in increment of financial investment in maternal health care(MHC),the changing trend of maternal mortality rate(MMR)and their regional disparities in Beijing and Shanghai municipality during the period from 2000 through 2017 and to explore suitable increment of financial investment in MHC.Methods We searched China National Knowledge Infrastructure(CNKI)and Web of Science for research literatures on the increment of financial investment in MHC in Beijing and Shanghai municipality published during 1995-2017.The information on deficit in the increment of financial investment in MHC was extracted from 122 retrieved studies for calculation of a severity score to evaluate the deficit in the increment of financial investment in MHC.Spearman correlation and linear regression analysis were used to analyze the relationship between the deficit in increment of financial investment in MHC and MMR.Results For Beijing municipality,the severity score for the deficit in the increment of financial investment in MHC decreased from 3.61 in 2000 to 3.05 in 2017,while for Shanghai municipality,the score decreased from4.00 to 1.79.Regression analysis on the correlation between the deficit severity score and MMR resulted in statistically significant regression equations for both data of Beijing(P<0.05)and Shanghai(P<0.01).Conclusion The increment of financial investment in maternal health care increased gradually over the years in both Beijing and Shanghai municipality during2000-2017.The influence of increment of financial investment on maternal mortality rate is more obvious for Shanghai.The study verified the feasibility of quantitative assessment on the increment of financial investment in maternal health care.

关 键 词：妇女保健 增长 严重程度评分 北京 上海 

分 类 号：R173[医药卫生—妇幼卫生保健]