中国母婴保健评估的综合模型。
An integrated model for evaluation of maternal health care in China.
机构信息
Child and Adolescent Physical Examination and Health Management Center, Lanzhou University Second Hospital, Lanzhou, China.
Department of Clinical Blood Transfusion, Lanzhou University Second Hospital, Lanzhou, China.
出版信息
PLoS One. 2021 Jan 28;16(1):e0245300. doi: 10.1371/journal.pone.0245300. eCollection 2021.
In recent years, in the context of China's continuous medical and health reforms, the health status of Chinese women and children has been significantly improved through the continuous efforts of staff at all levels of maternal and child health care institutions. Many indicators in maternal health care have improved significantly, but the speed and magnitude of changes have varied. The purpose of this study is to evaluate the dynamic changes in China's maternal health status from 2004 to 2018, in order to determine whether China's medical and health reform measures in recent years have improved maternal health. A total of 6 evaluation indicators from the data of China Health Statistics Yearbook 2019 were selected. Then, based on the multi-criteria decision-making (MCDA) methodology, the entropy weighted technique for order preference by similarity to an ideal solution (TOPSIS), entropy weighted rank-sum ratio (RSR) method and the fuzzy comprehensive evaluation were employed in this study. In addition, sensitivity analysis was engaged to validate the stability and accuracy of the achieved results. The study results shows the ranking values of various methods were not exactly the same, but the overall trend was consistent. Overall, the maternal health care in China improved from 2004 to 2018 year by year, of which the top four were ranked from 2015 to 2018, and relatively poor from 2004 to 2006. This means that the policies and measures implemented in China's medical and health reform in the past few decades have effectively promoted China's maternal health care, and this will also provide a theoretical basis for future decisions to promote maternal health care.
近年来,在中国不断推进医疗卫生改革的背景下,各级妇幼保健机构工作人员不懈努力,中国妇女儿童健康状况得到显著改善,孕产妇保健多项指标得到明显改善,但改善的速度和幅度有所不同。本研究旨在评价 2004 年至 2018 年中国孕产妇健康状况的动态变化,以确定近年来中国医疗卫生改革措施是否提高了孕产妇健康水平。共选取《中国卫生统计年鉴 2019》中的 6 项评价指标。然后,基于多准则决策(MCDA)方法,采用熵权 TOPSIS 法、熵权秩和比(RSR)法和模糊综合评价法。此外,还进行了敏感性分析,以验证结果的稳定性和准确性。研究结果表明,各种方法的排名值并不完全相同,但总体趋势是一致的。总的来说,中国的孕产妇保健工作从 2004 年到 2018 年逐年提高,其中 2015 年至 2018 年排名前四,2004 年至 2006 年相对较差。这意味着中国医疗卫生改革近几十年来实施的政策和措施有效地促进了中国的孕产妇保健工作,这也将为未来促进孕产妇保健工作的决策提供理论依据。