2010~2020年广西孕产妇保健服务质量综合评价  

Comprehensive evaluation of the quality of maternal healthcareservice in Guangxi from 2010 to 2020

作　　者：韦钧元 康静 李贞[1,2] 高洪达 覃娴静 冯启明 Wei Junyuan;Kang Jing;Li Zhen;Gao Hongda;Qin Xianjing;Feng Qiming(Health and Policy Research Center of Guangxi Medical University(Guangxi High-end Think Tank Construction and Cultivation Unit),Nanning 530021,Guangxi,China;School of Information and Management,Guangxi Medical University,Nanning 530021,Guangxi,China)

机构地区：[1]广西医科大学卫生与健康政策研究中心(广西高端智库建设培育单位),广西南宁530021 [2]广西医科大学信息与管理学院,广西南宁530021

出　　处：《右江民族医学院学报》2023年第2期342-345,349,共5页Journal of Youjiang Medical University for Nationalities

基　　金：广西壮族自治区卫生健康委员会委托项目(03301220022D)。

摘　　要：目的对2010~2020年广西孕产妇保健服务质量进行综合评价,为进一步提高孕产妇保健服务质量提供依据。方法以2010~2020年广西孕产妇保健服务相关指标(建卡率、系统管理率、产前检查率、产后访视率、住院分娩率、孕产妇死亡率)为基础,运用TOPSIS法和RSR法对各年度的孕产妇保健服务质量进行综合评价。结果2010~2020年,孕产妇的系统管理率、产前检查率和产后访视率呈现逐年上升趋势;建卡率和住院分娩率保持在99%以上。广西孕产妇死亡率逐年下降,从2010年的18.88/10万下降到2020年的8.37/10万,年均降幅7.81%。TOPSIS法排序结果显示,2016~2020年名列前列,2010~2015年排名靠后。RSR法分档评价结果显示,2010年孕产妇保健服务质量评定为“差”;2016年和2020年评定为“好”;其他年份评定为“中”。结论广西孕产妇保健服务质量逐年提高,但仍有进一步提升空间。孕产妇死亡率下降呈现波动反复,进一步下降遇到瓶颈。在“十四五”期间,进一步降低孕产妇死亡率,持续改善孕产妇保健服务质量是广西妇幼卫生工作的难点和重点。Objective To conduct a comprehensive evaluation of the quality of maternal health care services in Guangxi from 2010 to 2020,and to provide a basis for further improving the quality of maternal health care services.Methods TOPSIS method and RSR method were used to comprehensively evaluate the quality of maternal health care services in each year based on the indicators related to maternal health care services in Guangxi from 2010 to 2020(card establishment rate,system management rate,prenatal examination rate,postpartum visit rate,hospital delivery rate and maternal mortality rate).Results From 2010 to 2020,the systematic management rate,prenatal examination rate and postpartum visit rate of maternal women showed an increasing trend year by year,and the rate of card establishment and hospital delivery remained above 99%.The maternal mortality rate in Guangxi has been decreasing year by year,from 18.88 deaths per 100,000 in 2010 to 8.37 per 100,000 in 2020,with an average annual decline of 7.81%.The result of TOPSIS ranking showed that the quality of maternal health care services ranked the top from 2016 to 2020 and ranked the bottom from 2010 to 2015.The results of RSR grading evaluation showed that the quality of maternal health care services in 2010 was rated as“poor”,2016 and 2020 as“good”,and in other years was rated as“medium”.Conclusion The quality of maternal health care services in Guangxi has been improving year by year,but there is still room for further improvement.The decline of maternal mortality rate shows fluctuations,and further declinehas reacheda bottleneck.During the“14th Five-Year Plan”period,further reducing maternal mortality and continuously improving the quality of maternal health care services are the difficulties and priorities of maternal and child health work in Guangxi.

关 键 词：孕产妇保健服务质量 综合评价 广西 

分 类 号：R197[医药卫生—卫生事业管理]