基于秩和比法新疆地区基本公共卫生服务评价  

Implementation of basic public health services in Xinjiang Uygur Autonomous Region:a rank sum ratio-based evaluation

作　　者：徐培兰[1] 孜克娅·乃吉木 木日扎提·买买提 孙虹 魏晶晶[2] 王昕 XU Pei-lan;Zikeya·Naijimu;Murizhati·Maimaiti(School of Public Health,Central South University,Changsha,Hunan Province 410083,China;不详)

机构地区：[1]中南大学公共卫生学院,湖南长沙410083 [2]新疆医科大学公共卫生学院 [3]中南大学湘雅医院 [4]中国医科大学人文社科学院

出　　处：《中国公共卫生》2021年第3期542-545,共4页Chinese Journal of Public Health

基　　金：自治区社会科学基金(18BGL094);自治区卫生健康青年医学卫生人才专项科研项目(WJWY–201856)。

摘　　要：目的评价新疆14个地州基本公共卫生服务开展情况,为新疆地区基本公共卫生建设提供更全面、更有针对性的指导性建议。方法收集新疆地区卫生健康委员会2018年全区全民体检基本公共卫生服务监测数据和年度报表,采用秩和比(RSR)法对新疆14个地州基本公共卫生服务开展情况进行分析。结果新疆14个地州的健康档案建档率均>80%,其中乌鲁木齐市和巴州的建档率最高,均达到100%;除乌鲁木齐市新生儿访视率和儿童健康管理率分别为87.85%和86.83%外,其他13个地州均>90%;早孕建册率均>80%,其中乌鲁木齐市最高为95.29%,克拉玛依市最低为82.75%;除乌鲁木齐市产后访视率为87.80%外,其他13个地州均>90%;高血压患者规范管理率除克拉玛依市和塔城地区分别为64.90%和65.92%外,其他12个地州均>70%;2型糖尿病患者规范管理率除吐鲁番市和塔城地区分别为68.59%和65.92%外,其他12个地州均>70%;RSR法排序结果显示,新疆14个地州中吐鲁番市的RSR值最高为0.68,昌吉州的RSR值最低为0.32;新疆4个区域中南疆的RSR值最高为0.79,乌鲁木齐市的RSR值最低为0.50。结论新疆地区基本公共卫生服务存在各项目、各地区发展不平衡现象,各地医疗机构应根据自身人群特征、区域特征等对基本公共卫生服务加以改进。Objective To evaluate the implementation of basic public health services(BPHS)in 14 prefectures of Xinjiang Uygur Autonomous Region(Xinjiang),and to provide references for the improvement of BPHS in Xinjiang.Methods Surveillance data and annual reports on the implementation of BPHS in Xinjiang during 2018 were collected from Xinjiang Health Commission and rank sum ratio(RSR)method was adopted in the evaluation of BPHS practice.Results The rate of establishing health records for community residents was greater than 80%for all the 14 prefectural administrative regions in Xinjiang and the rate was 100%for Urumqi and Bazhou prefecture.The rate of follow-up visit and health management for the newborns in all the regions were greater than 90%,except for those(87.85%and 86.83%)in Urumqi city.The registration rate of pregnancy in first trimester in all the prefectures were>80%and the highest and the lowest rate were 95.29%and 82.75%in Urumqi and Karamay city.The rate of postpartum visit in all the regions were greater than 90%,except for that(87.80%)in Urumqi city.The rate of standard hypertension patient management in all the regions were greater than 70%,except for those(64.90%and 65.92%)in Karamay city and Tacheng prefecture;the rate of standard type 2 diabetes patient management in all the regions were greater than 70%,except for those(68.59%and 65.92%)in Turpan and Tacheng prefecture.The highest RSR value of BPHS implementation was 0.68 for Turpan city and the lowest RSR value was0.32 for Changji prefecture;while the highest geographically regional RSR value was 0.79 for Southern Xinjiang was and the lowest was 0.50 for Urumqi city.Conclusion There are item-specific and regional imbalance in the implementation of BPHS in Xinjiang,suggesting that local medical institutions should improve their BPHS according to characteristics of target population to be served.

关 键 词：基本公共卫生服务 秩和比(RSR)法 评价 

分 类 号：R195.1[医药卫生—卫生统计学]