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于芳, 郝模, 李程跃, 张建华, 贾海艺, 张政, 陈任, 刘苗苗, 陈政, 郑文贵. 京沪妇女保健信息系统风险防控程度分析[J]. 中国公共卫生, 2020, 36(3): 303-306. DOI: 10.11847/zgggws1121699
引用本文: 于芳, 郝模, 李程跃, 张建华, 贾海艺, 张政, 陈任, 刘苗苗, 陈政, 郑文贵. 京沪妇女保健信息系统风险防控程度分析[J]. 中国公共卫生, 2020, 36(3): 303-306. DOI: 10.11847/zgggws1121699
Fang YU, Mo HAO, Cheng-yue LI, . Health risk prevention and control capability of maternal health care information system in Beijing and Shanghai[J]. Chinese Journal of Public Health, 2020, 36(3): 303-306. DOI: 10.11847/zgggws1121699
Citation: Fang YU, Mo HAO, Cheng-yue LI, . Health risk prevention and control capability of maternal health care information system in Beijing and Shanghai[J]. Chinese Journal of Public Health, 2020, 36(3): 303-306. DOI: 10.11847/zgggws1121699

京沪妇女保健信息系统风险防控程度分析

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

  • 摘要:
      目的  比较京沪妇女保健信息系统防控风险的程度,明确妇女保健风险防控的意义,尝试量化表达风险防控程度并验证其可行性。
      方法  系统收集2004 — 2017年京沪通过妇保信息系统发布的对具体妇女健康风险提出干预及防控措施的研究文献和公开信息,综合量化京沪风险防控程度,运用spearman秩相关分析风险防控程度与孕产妇死亡率的关系。
      结果  2004 — 2007年北京每年发布的风险防控信息资料低于4篇,风险防控程度由4.73 %降至3.58 %。2008年开始每年发布在5~11篇,14年间累计发布81篇,风险防控程度由5.42 %上升7.61 %。上海每年发布低于5篇,14年累计发布仅26篇,风险防控程度由0 %提升至2014年的3.73 %,后又略降至2017年的3.11 %。两地的孕产妇死亡率与风险防控程度间均未呈现相关性。
      结论  北京、上海妇保信息系统风险防控功能的发挥提升缓慢,上海低于北京;京沪两地的风险防控效果并不突出;适宜的妇女保健体系应采取有效干预和控制措施、及时降低和消除主要妇女健康风险;探索量化表达风险防控程度是可行的。

     

    Abstract:
      Objective  To compare health risk prevention and control 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 on the prevention and control of specific 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 assess health risk prevention and control capability of the 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  During the 14-year period, totally 81 literatures or pieces of information on health risk prevention and control were published through maternal health information system of Beijing; from 2004 to 2007, the annual number of the published literatures and pieces of information was less than 4, with a decreased health risk prevention and control capability index from 4.73% to 3.58%; while from 2008 to 2017, the annual number was between 5 and 11, with an increased health risk prevention and control capability index from 5.42% to 7.61%. During the same period, only 26 literatures or pieces of information on health risk prevention and control were published through maternal health information system of Shanghai, with an increased health risk prevention and control capability index from 0% in 2007 to 3.73% in 2014 and a decreased capability index of 3.11% in 2017. There was no correlation was observed between health risk prevention and control capability and maternal mortality in both Beijing and Shanghai.
      Conclusion  The health risk prevention and control capability of the maternal health information system in Beijing and Shanghai were improved slowly, without obvious impacts on maternal health in the two cities, and less improvement was achieved for the capability in Shanghai. The study results highlight the feasibility of quantitative evaluation on health risk prevention and control capability of a health information system.

     

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