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于芳, 郝模, 李程跃, 贾海艺, 张政, 陈菲, 刘苗苗, 沈群红, 陈政, 郑文贵. 京沪妇女保健信息系统风险识别程度分析[J]. 中国公共卫生, 2020, 36(3): 295-299. DOI: 10.11847/zgggws1121697
引用本文: 于芳, 郝模, 李程跃, 贾海艺, 张政, 陈菲, 刘苗苗, 沈群红, 陈政, 郑文贵. 京沪妇女保健信息系统风险识别程度分析[J]. 中国公共卫生, 2020, 36(3): 295-299. DOI: 10.11847/zgggws1121697
Fang YU, Mo HAO, Cheng-yue LI, . Health risk identification capability of maternal health care information system in Beijing and Shanghai[J]. Chinese Journal of Public Health, 2020, 36(3): 295-299. DOI: 10.11847/zgggws1121697
Citation: Fang YU, Mo HAO, Cheng-yue LI, . Health risk identification capability of maternal health care information system in Beijing and Shanghai[J]. Chinese Journal of Public Health, 2020, 36(3): 295-299. DOI: 10.11847/zgggws1121697

京沪妇女保健信息系统风险识别程度分析

Health risk identification capability of maternal health care information system in Beijing and Shanghai

  • 摘要:
      目的  分析京沪妇女保健信息系统风险识别程度的现状及差异,探讨对其量化表达的方法,并验证其可行性。
      方法  系统收集2004 — 2017年京沪妇保信息系统发布的识别妇女健康风险的文献和信息,综合量化比较京沪风险识别程度,运用Spearman秩相关及单因素回归等分析风险识别程度与孕产妇死亡率的关系。
      结果  2004 — 2017年北京累计发布221篇有关识别妇女健康问题的信息与文献,其风险识别程度从2004年的10.32 % 上升至2017年的20.05 %,上海2004 — 2017年累计发布129篇,风险识别程度从0 % 上升至11.82 %。上海风险识别程度与孕产妇死亡率呈现负相关(r = 0.565, P = 0.04),北京未呈现相关性。
      结论  京沪妇保信息系统风险识别程度逐步提升但仍不足,上海略低于北京,上海妇保信息系统的风险识别的作用对健康水平的提升作用初步体现;适宜的妇女保健体系应能识别主要妇女健康风险,掌握本底情况及危害程度;本研究的量化方法和结果验证了风险识别程度科学、可行。

     

    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.

     

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