摘要
目的分析2000—2017年京沪妇女保健财力投入总量不足严重程度及孕产妇死亡率的变化趋势,明确2地差异,探讨妇女保健财力投入总量适宜程度。方法收集1995—2017年涉及京沪妇女保健财力投入总量问题的文献205篇,摘录财力投入总量不足问题的相关表述,计算严重程度评分。运用Spearman相关、线性回归等分析妇女保健财力投入总量不足严重程度与孕产妇死亡率的关系。结果北京妇女保健财力投入总量不足严重程度从2000年的3.54分降至2017年的2.78分,上海则由3.94分降至1.41分。北京和上海的回归方程均有统计学意义(北京P<0.05,上海P<0.01)。结论京沪2地妇女保健财力投入总量在逐年增加,上海财力投入总量在孕产妇死亡率降低中作用更大,但公平性有所欠缺;适宜的妇女保健体系应“投入适宜:投入足以维持相关部门、专业机构等的有效运行”;验证了量化妇女保健财力投入总量的可行性。
Objective To analyze the extent of deficit in total financial investment in maternal health care(MHC),the changing trend of maternal mortality rate(MMR)and their regional disparities in Beijing and Shanghai municipality during the period from 2000 through 2017 and to explore suitable total financial investment in MHC.Methods We searched China National Knowledge Infrastructure(CNKI)and Web of Science for research literatures on financial investment in MHC in Beijing and Shanghai municipality published during 1995-2017.The information on deficit in total financial investment in MHC was extracted from 205 retrieved studies for calculation of a severity score to evaluate the deficit in total financial investment in MHC.Spearman correlation and linear regression analysis were used to analyze the relationship between the deficit in total financial investment in MHC and MMR.Results For Beijing municipality,the severity score for the deficit in total financial investment in MHC decreased from 3.54 in 2000 to 2.78 in 2017,while for Shanghai municipality,the score decreased from 3.94 to 1.41.Regression analysis on the correlation between the deficit severity score and MMR resulted in statistically significant regression equations for both Beijing(P<0.05)and Shanghai(P<0.01).Conclusion The total financial investment in maternal health care increased gradually over the years in both Beijing and Shanghai municipality during 2000-2017.The influence of total financial investment on maternal mortality rate is more obvious for Shanghai.The study verified the feasibility of quantitative assessment on total financial investment in maternal health care.
作者
马东平
尹文强
田壮
郑文贵
马安宁
林振平
钱东福
李程跃
尹爱田
郝模
MA Dong-ping;YIN Wen-qiang;TIAN Zhuang(School of Public Health and Management,Weifang Medical University,Weifang,Shandong Province 261053,China;不详)
出处
《中国公共卫生》
CSCD
北大核心
2022年第7期914-916,共3页
Chinese Journal of Public Health
基金
上海市加强公共卫生体系建设三年行动计划(2015年—2017年,GWIV-32)
潍坊医学院科技创新团队支持计划(201701)
“健康山东”重大社会风险预测与治理协同创新中心重点研究方向项目(XT1407004)
潍坊医学院公派教师国内访学项目。
关键词
妇女保健
总量
严重程度评分
北京
上海
maternal health care
total financial investment
severity score
Beijing
Shanghai
