京沪妇女保健各方职责明确状况  

Responsibility assignment among institutions of maternal health care system in Beijing and Shanghai:a literature study

作　　者：田壮[1,10] 李力 陈菲 于芳[4,10] 李伯阳 陈任[6,10] 石林梅 李程跃[2,10] 沈群红 徐凌忠[9,10] 吴群红 张建华 张春芝[1,10] TIAN Zhuang;LI Li;CHEN Fei(School of Public Health,Jining Medical University,Jining,Shandong Province 272067,China)

机构地区：[1]济宁医学院公共卫生学院,山东济宁272067 [2]复旦大学卫生发展战略研究中心 [3]重庆医科大学公共卫生与管理学院 [4]潍坊医学院公共卫生与管理学院 [5]华中科技大学同济医学院医药卫生管理学院 [6]安徽医科大学卫生管理学院 [7]哈尔滨医科大学 [8]清华大学公共管理学院 [9]山东大学公共卫生学院 [10]健康相关重大社会风险预警协同创新中心

出　　处：《中国公共卫生》2021年第6期1019-1022,共4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)项目(GWIV–32);健康相关重大社会风险预警协同创新中心科研基金;济宁医学院教师科研扶持基金(JY2017RW002)。

摘　　要：目的比较京沪两地妇女保健组织体系各方职责明确状况的差异,明确其意义,探索对其量化评估的可行性。方法穷尽的方法收集2000—2017年上海、北京公开发布的涉及妇女保健工作的政策文件,共收集上海417份、北京232份,从中提取并量化相关信息,评价各方职责明确状况,利用Spearman相关、线性回归,分析其与孕产妇死亡率的关系。结果京沪两地妇女保健各方职责明确状况分别由2000年的1.8%、9.5%上升为2017年的23.7%、28.0%,总体偏低,上海略高于北京;两地各方职责明确状况与孕产妇死亡率呈负相关。结论京沪两地职责明确状况呈上升趋势,促使妇保健康结果的改善,但仍需切实明确除业务条线部门以外各相关部门的职责;适宜的妇保体系应各方权责明确;本研究所探索采用的量化评价方法具备可行性和可推广性。Objective To compare the disparity in responsibility assignment among various functional institutions of the maternal health care(MHC)system between Beijing and Shanghai and to explore the feasibility of quantitative evaluation on the degree of well-defined responsibility assignment.Methods We systematically and extensively collected documents and materials on MHC issued by administrative agencies of Beijing and Shanghai municipality published during 2000–2017.Then we extracted relevant information from 649 retrieved documents(232 relevant to Beijing and 417 to Shanghai)and analyzed the information quantitatively to assess the responsibility assignment among various functional institutions of MHC system in the two municipalities.Spearman correlation and linear regression analysis were used to analyze the relationship between the degree of well-defined responsibility assignment of MHC system and maternal mortality rate(MMR).Results The relevant information-derived index for the degree of well-defined responsibility assignment of MHC system increased from 1.8%in 2000 to 23.7%in 2017 in Beijing municipality;while,the index increased from 9.5%to 28.0%in Shanghai,indicating a relatively low level for the MHC system's well-defined responsibility assignment.There was an inverse correlation between the index for well-defined responsibility assignment of MHC system and MMR in the two municipalities.Conclusion The responsibility assignment among various functional institutions of the maternal health care system was improved and the improvement facilitated maternal health care practice in Beijing and Shanghai during 2000–2017;but the responsibility assignment for nonmedical institutions should be well defined.The study verified the feasibility of quantitative assessment on responsibility assignment among various functional institutions of the maternal health care system.

关 键 词：妇女保健 组织体系 职责明确 北京 上海 

分 类 号：R197.1[医药卫生—卫生事业管理]