Abstract:
Objective To analyze the status of and the difference in health risk identification capability of maternal health information system in Beijing and Shanghai and to explore the method for quantitative evaluation on the capability and the feasibility of the evaluation.
Methods We systematically collected research literatures and public information related to the identification of maternal health risks published by government agencies and medical institutions via maternal health information system of Beijing and Shanghai between 2004 and 2017. A comprehensive quantitative method was adopted to compare the health risk identification capability of maternal health information system in Beijing and Shanghai and Spearman correlation analysis was used to analyze the association of the capability of the information system with maternal mortality of the two cities.
Results We totally retrieved 221 and 129 pieces of information and literatures on the identification of maternal health risk published via the maternal health information system of Beijing and Shanghai during the period. The health risk identification capability increased from 10.32% and 0% in 2004 to 20.05% and 11.82% for the maternal health information system in Beijing and Shanghai based on comprehensive weighted quantification analyses on the retrieved information and literatures. There was a negative correlation between health risk identification capability of the information system and maternal mortality only in Shanghai city (r = 0.565, P = 0.04).
Conclusion The health risk identification capability of maternal health information system in Beijing and Shanghai was increased gradually, with a slightly higher capability for the system of Beijing, but still need to be improved. The method and results of this study highlight the feasibility of quantitative evaluation on risk identification capability of a health information system.