京沪妇女保健组织体系健全程度比较  

Framework completeness of maternal health care system in Beijing and Shanghai:a comparison analysis

作　　者：田壮 马东平[2,10] 尹文强 李伯阳[3,10] 张亮 陈菲[4,10] 蒲川 李程跃[5,10] 于明珠 徐天强[7,10] 郝超 陈政[9,10] 郝模 马安宁[1,10] TIAN Zhuang;MA Dong-ping;YIN Wen-qiang(Jining Medical University,Jining,Shandong Province 272067,China)

机构地区：[1]济宁医学院,山东济宁272067 [2]潍坊医学院公共卫生与管理学院 [3]武汉大学政治与公共管理学院 [4]重庆医科大学公共卫生与管理学院 [5]复旦大学卫生发展战略研究中心 [6]中国健康促进与教育协会疾病预防控制分会 [7]上海卫生和计划生育委员会监督所 [8]常州市疾病预防控制中心 [9]中华预防医学会公共卫生管理分会基层公共卫生管理学组 [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》2022年第2期241-245,共5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架构健全程度的差异,明确其意义,推导确立其适宜定位,探索对其量化评估的可行性。方法系统收集(即穷尽)2000—2017年京沪两地公开发布的与妇女保健相关的政策文件和相关文献,共收集北京市相关文件232篇,上海市相关文件417篇。摘录文件中提及"部门""机构""组织"的相关内容,基于组织架构基本健全程度、主要部门覆盖程度计算组织架构健全程度,利用Spearman相关、线性回归,分析其与孕产妇死亡率的关系。结果2000—2017年,京沪两地妇女保健组织架构健全程度分别由52.9%、68.5%上升到78.0%、85.8%,呈不断上升趋势,两地妇女保健组织架构健全程度与孕产妇死亡率呈负相关。结论妇保体系的组织架构逐步完备,上海优于北京且能够充分发挥作用,支撑健康结果改善;两地尚存不足之处在于相关支撑部门尚未充分纳入及子体系尚不完备。适宜的妇女保健组织架构应该子体系完备且内部覆盖部门齐全。经本研究验证组织架构健全程度量化评估具备可行性及可推广性。Objective To compare the disparity in framework completeness of maternal health care(MHC)system between Beijing and Shanghai and to explore the feasibility of quantitative evaluation on the degree of framework completeness of MHC system.Methods We systematically and extensively collected documents on MHC issued by administrative agencies of Beijing and Shanghai municipality and relevant literatures published during 2000-2017.Then we extracted information on the MHC system's department,institution and organizational structure from 649 retrieved documents and literatures(232 relevant to Beijing and 417 to Shanghai)and analyzed the information quantitatively to assess framework completeness of MHC system in the two municipalities.Spearman correlation and linear regression analysis were used to analyze the relationship between framework completeness of MHC system and maternal mortality rate(MMR).Results The relevant information-derived index for framework completeness of MHC system increased from 52.9%in 2000 to 78.0%in 2017 in Beijing municipality;while,the index increased from 68.5%to 85.8%in Shanghai,with a gradually increasing trend.There was an inverse correlation between the index for framework completeness of MHC system and MMR in the two municipalities.Conclusion The framework completeness of maternal health care system was improved and the improvement facilitated maternal health care practice in Beijing and Shanghai gradually during 2000-2017;but some supportive departments were not embedded into the MHC system's framework and the completeness of subsystem need to be improved.The study verified the feasibility of quantitative assessment on framework completeness of maternal health care system.

关 键 词：妇女保健 组织架构 健全程度 北京 上海 

分 类 号：R197.1[医药卫生—卫生事业管理]