京沪妇女保健信息系统风险预警程度分析

于芳; 郝模; 李程跃; 张建华; 贾海艺; 张政; 陈菲; 田壮; 陈政; 郑文贵

doi:10.11847/zgggws1121698

京沪妇女保健信息系统风险预警程度分析

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

摘要

摘要:
目的分析京沪妇女保健信息系统风险预警能力的变迁，明确风险预警的内涵与意义，尝试量化表达风险预警程度并验证其可行性。
方法基于政府、卫计委、妇幼保健机构的网站和中国知网、web of science等数据库系统，全面地收集2004 — 2017年利用京沪妇保信息系统发布的有关妇女健康风险预警的政府信息和研究文献，量化计算风险预警程度，运用Spearman相关及线性回归方法分析风险预警程度与孕产妇死亡率间的关系。
结果北京的风险预警程度自2004 — 2010年一直为0 %，在2011年发布了1篇育龄期保健问题类型的风险预警信息之后，风险预警程度上升至0.09 %，此后再未发布预警信息，风险预警程度降至2017年的0.05 %。而上海的风险预警程度自2004 — 2016年一直为0 %，仅在2017年发布了1篇育龄期保健问题类型的风险预警的信息，风险预警程度提升至0.05 %。北京风险预警程度与孕产妇死亡率呈明显负相关（r_s = – 0.669，P = 0.009），对孕产妇死亡率的解释程度为57.1 %（P = 0.002），而上海未显示相关性。
结论京沪妇女保健信息系统风险预警功能发挥程度较低，北京的风险预警体现出对妇女健康效果的支撑作用；适宜的妇女保健体系应能及时地预测、预警主要风险的变化及趋势；量化表达风险预警程度是可行的。

Abstract:
Objective To analyze the change in health risk early warning 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 Through websites of governmental agencies, maternal and child healthcare institutions, China National Knowledge Infrastructure, and Web of Science, we systematically collected government notifications and research literatures related to maternal health risk early warning issued by maternal health information systems in Beijing and Shanghai between 2004 and 2017 and then quantitatively assessed the early warning capability of the published information. Spearman correlation and linear regression analysis were used to analyze the association of the health risk early warning capability with maternal mortality of the two cities.
Results For the maternal health information system of Beijing during the period, only one health risk early warning about healthcare of childbearing women was issued through the system in 2011, with the variation in early warning capability index of zero from 2004 to 2010 and of from 0.09% in 2011 to 0.05% in 2017. Similarly for the maternal health information system of Shanghai during the period, only one health risk early warning about healthcare of childbearing women was issued through the system in 2016, with the variation in early warning capability index of zero from 2004 to 2016 and an index of 0.05% in 2017. The health early warning capability index was inversely correlated significantly with maternal mortality in Beijing (r = – 0.669, P = 0.009) and the index could explain 57.1% of the variation in maternal mortality in Beijing city (P = 0.002).
Conclusion The health risk early warning capability of maternal health information systems in Beijing and Shanghai is at a low level and the capability shows a positive impact on the health of women in Beijing city. The study results suggest that health risk early warning capability could be evaluated quantitatively.

HTML全文

参考文献(24)

施引文献

资源附件(0)