京沪孕产妇健康信息发布及时程度
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摘要
目的分析京沪两地发布孕产妇健康信息的及时程度,探索量化比较孕产妇健康信息发布及时程度的可行性。方法系统收集涉及京沪两地关于妇女保健需要的公开信息报告和研究文献,量化计算及时性程度;运用Spearman相关、线性回归分析及时程度与孕产妇死亡率之间的关系。结果 2017年京沪两地政府、专业机构和研究机构最早发布信息的及时程度分别为76.8%和80.3%,信息发布更新及时程度均为83.3%;北京发布孕产妇健康信息的总体及时程度由2000年49.5%上升至2017年的80.1%,上海由2000年的74.2%上升至2017年的81.8%;两地发布孕产妇健康信息的总体及时程度与孕产妇死亡率(8.17/10万vs 1.01/10万)呈明显负相关(相关系数分别为–0.530、–0.599,P <0.05),对孕产妇死亡率变化的解释程度分别为27.6%和38.7%。结论京沪两地发布孕产妇健康信息的及时程度逐步提升,专业机构应形成规范的信息发布机制,进一步提高发布健康信息的及时性;量化一个国家(地区)发布孕产妇健康信息的及时程度是科学可行的,该方法可推广应用于其他地区和其他公共卫生领域。
Objective To analyze the timeliness for the release of maternal health information in Beijing and Shanghai and to explore the feasibility of quantifying publishing timeliness of maternal health information. Methods We systematically collected all reports and research literatures on health care needs of the women in Beijing and Shanghai published by governmental agencies and professional institutions and quantitatively assessed the timeliness of the information publishing based on the gap between the time of drawing an attention by World Health Organization and the time of publishing information firstly to a specific maternal health issue. We adopted Spearman correlation and linear regression analysis to evaluate the relationship between the information publishing timeliness and maternal mortality. Results The ratio of the maternal health information published timely by governmental agencies and professional institutions in Beijing and Shanghai were 76.8% and 80.3% in 2017 and 83.3% of the published information were updated timely. From 2000 to 2017, the overall timeliness ratio increased from 49.5% to 80.1% for the published healthcare information on the pregnant women in Beijing and from 74.2% to 81.8% for the published information on the pregnant women in Shanghai. The overall timeliness ratio for published information on health care of the pregnant women in Beijing and Shanghai was significantly correlated inversely with the maternal mortality of the women in the two cities, with the correlation coefficients of – 0.530 and – 0.599(both P <0.05) and 27.6% and 38.7% of the variation in the maternal mortality could be interpretated by the variation in the overall timeliness ratio for the two cities. Conclusion The timeliness for the release of maternal health information by governmental agencies and professional institutions in Beijing and Shanghai gradually increased during the period from 2000 to 2017 but the timeliness still needs to be improved. The method for quantitative evaluation on publishing timeliness of the information on maternal health care needs is feasible and could be applied in other researches.
Objective To analyze the timeliness for the release of maternal health information in Beijing and Shanghai and to explore the feasibility of quantifying publishing timeliness of maternal health information. Methods We systematically collected all reports and research literatures on health care needs of the women in Beijing and Shanghai published by governmental agencies and professional institutions and quantitatively assessed the timeliness of the information publishing based on the gap between the time of drawing an attention by World Health Organization and the time of publishing information firstly to a specific maternal health issue. We adopted Spearman correlation and linear regression analysis to evaluate the relationship between the information publishing timeliness and maternal mortality. Results The ratio of the maternal health information published timely by governmental agencies and professional institutions in Beijing and Shanghai were 76.8% and 80.3% in 2017 and 83.3% of the published information were updated timely. From 2000 to 2017, the overall timeliness ratio increased from 49.5% to 80.1% for the published healthcare information on the pregnant women in Beijing and from 74.2% to 81.8% for the published information on the pregnant women in Shanghai. The overall timeliness ratio for published information on health care of the pregnant women in Beijing and Shanghai was significantly correlated inversely with the maternal mortality of the women in the two cities, with the correlation coefficients of – 0.530 and – 0.599(both P <0.05) and 27.6% and 38.7% of the variation in the maternal mortality could be interpretated by the variation in the overall timeliness ratio for the two cities. Conclusion The timeliness for the release of maternal health information by governmental agencies and professional institutions in Beijing and Shanghai gradually increased during the period from 2000 to 2017 but the timeliness still needs to be improved. The method for quantitative evaluation on publishing timeliness of the information on maternal health care needs is feasible and could be applied in other researches.
引文
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[21]董佩,严晓玲,邱五七,等.公共卫生信息相关群体需求与责任分析[J].医学信息学杂志,2016,37(1):62-67.
[22]许良智,曾蔚越,陈彬.孕产妇死亡与妊娠状况关系探讨[J].现代预防医学,1997(1):42-44.
[2]赵媛媛,陶芳标,龙翔,等.农村育龄妇女孕产期保健需求调查[J].中国公共卫生,2008,23(2):142-143.
[3]Olowonyo T,Oshin S,Obasanjo-Bello I.Registering in a health facility for delivery protects against maternal mortality in a developing country setting[J].Journal of Obstetrics and Gynaecology,2005,25(7):638-641.
[4]薛婉君.孕产期健康服务整合研究[D].北京:北京协和医学院,2015.
[5]李宗富,张向先.政务微信公众号服务质量的关键影响因素识别与分析[J].图书情报工作,2016,60(14):84-93.
[6]杨慧宾,金龙妹,崔巍,等.上海市闵行区社区卫生服务机构妇女保健人力资源调查分析[J].中国初级卫生保健,2017,31(12):30-32.
[7]李源生,武敏,刘金花.我国农村信息化建设评价指标的选用研究[J].农业科技管理,2006(5):66-68.
[8]上海地方志办公室.专业志-上海卫生志[EB/OL].[2018-09-29].http://www.shtong.gov.cn/node2/node2245/node67643/node67654/node67715/node67835/userobject1ai65140.html.
[9]北京市卫生和计划生育委员会.北京卫生计生事业统计公报[EB/OL].[2018-05-03].http://xxzx.bjchfp.gov.cn/tonjixinxi/weisheng tongjigongbao/.
[10]上海市卫生和计划生育委员会.上海卫生计生数据[EB/OL].[2018-05-03].http://www.wsjsw.gov.cn/wsj/n429/n432/n1488/n1490/index.html.
[11]毛静馥,苏华.从应对SARS看公共卫生决策的影响因素[J].中国公共卫生管理,2004(2):102-104.
[12]吴凡.加强健康数据的分析和利用,提高公共卫生循证决策能力[J].上海预防医学,2016,28(3):137.
[13]Population needs assessment for health and social care partnerships:guidance on the use of data sources[EB/OL].[2018-05-09].chromeextension://ikhdkkncnoglghljlkmcimlnlhkeamad/pdf-viewer/web/viewer.html?file=http%3A%2F%2Fwww.isdscotland.o rg%2FHealth-Topics%2FHealth-and-Social-CommunityCare%2Fdocs%2FHSCP_NA_031014.pdf.
[14]胡光宇.新健康革命[M].北京:清华大学出版社,2006:13.
[15]张英奎,麻海英,李进华,等.地理信息管理系统在妇幼保健信息系统中的功能应用[J].河北医药,2013,35(3):457-458.
[16]吴刚娥.外籍孕妇健康教育需求及干预效果分析[D].上海:复旦大学,2012.
[17]赵凤敏,郭素芳,张彤,等.不同时期育龄妇女产前保健及影响因素分析[J].中国公共卫生,2006,22(1):9-11.
[18]Ellencweig AY.Analyzing health systems:a modular approach[M].London:Oxford University Press,1992.
[19]郝模.卫生政策学[M].2版.人民卫生出版社,2013:30-33.
[20]孙颖浩,翁铁慧,陈锦华,城市核化生爆医学救援指南[M].上海:第二军医大学出版社,2014:593.
[21]董佩,严晓玲,邱五七,等.公共卫生信息相关群体需求与责任分析[J].医学信息学杂志,2016,37(1):62-67.
[22]许良智,曾蔚越,陈彬.孕产妇死亡与妊娠状况关系探讨[J].现代预防医学,1997(1):42-44.