摘要
目的 评价湖南省出生缺陷防治支持评价规范化程度,为决策者制定防治措施提供依据。方法 运用前期研制的我国出生缺陷防治规范化评价指标体系进行地区防治工作评价。以湖南省14个市州、123个区县为研究对象,开展出生缺陷防治规范化评价问卷调查,采用综合评分方法对各区县出生缺陷防治工作中支持评价维度情况进行描述分析。结果 全省出生缺陷防治支持评价维度综合评分较高,中位数为82.4分。但不同市州、区县的综合评分存在较大差异(四分位数间距分别为13.0分和26.5分),综合得分最低仅14.7分,综合得分最高达满分100.0分,仅10个市州、70个区县的综合评分达75.0分以上。结论 2019年湖南省出生缺陷防治支持工作开展总体较好,但不同地区间存在较大差异,部分出生缺陷防治法规方案实施未完全落实到位。今后应明确各相关部门职责,建立协调工作机制,为开展出生缺陷防治工作提供支持保障。
Objective To assess the standardization degree of evaluation on birth defect prevention and control support in Hunan Province, and to provide a basis for decision makers to formulate relative prevention and control measures. Methods Using the standardized evaluation index system for birth defect prevention and control in China developed in earlier stage, we evaluated the provincial supportive efforts for birth defect prevention and control. A questionnaire survey on standardized evaluation of birth defect prevention and control was conducted in 123 districts/counties of 14 cities/prefectures in Hunan Province. Comprehensive scoring method was used to descriptively analyze the dimension of evaluation on birth defect prevention and control support in each district/county. Results The comprehensive score of the dimension of evaluation on provincial birth defect prevention and control support was high, with the median of 82.4 points. Different cities/prefectures and districts/counties had significantly different comprehensive scores(with the interquartile range of 13.0 points and 26.5 points, respectively). The lowest comprehensive score was only 14.7 points, whereas the highest comprehensive score was 100 points. Only 10 cities/prefectures and 70 districts/counties scored above 75.0 points. Conclusion The supportive work concerning birth defect prevention and control in Hunan Province in 2019 was generally good, but great differences existed across cities/prefectures and districts/countries. Some mandatory work on birth defect prevention and control had not been fully implemented. In the future, the responsibilities of relevant departments should be specified, and a coordination mechanism should be established to improve the support work regarding birth defect prevention and control.
作者
李影子
华俊杰
宁佩珊
胡国清
LI Ying-zi;HUA Jun-jie;NING Pei-shan;HU Guo-qing(Department of Epidemiology and Health Statistics,Xiangya School of Public Health,Central South University,Changsha,Hunan 410078,China)
出处
《实用预防医学》
CAS
2023年第2期178-181,共4页
Practical Preventive Medicine
基金
湖南省科技创新计划资助(2019SK1010)
关键词
出生缺陷
防治
规范化
综合评分
birth defect
prevention and treatment
standardization comprehensive score
