临床荟萃

• 论著 • 上一篇    下一篇

运用秩和比法综合评价2015年我国31省市儿童保健工作

  

  1. 兰州大学第二医院甘肃省儿童医院 儿童心理行为科,甘肃 兰州 730030
  • 出版日期:2017-12-05 发布日期:2017-12-14
  • 通讯作者: 通信作者:杨静, Email:yangdoctor2007@126.com

Comprehensive evaluation of quality of health care for children with rank sum ratio in 31 provinces, autonomous regions and municipalities of China in 2015

  1. Department of Child Psychology and Behavior, Children Hospital of Gansu Province,
    the Second Hospital of Lanzhou University, Lanzhou 730030, China
  • Online:2017-12-05 Published:2017-12-14
  • Contact: Corresponding author:Yang Jing, Email:yangdoctor2007@126.com

摘要: 目的  分析2015年我国31省市儿童保健相关指标,横向比较各地区间儿童保健状况,为相关政策的制定提供可供参考的依据。方法   采用秩和比法对2015年我国31省市儿童保健情况的新生儿访视率、3岁以下儿童系统管理率、7岁以下儿童保健管理率、出生体重<2 500  g婴儿比重、围生儿死亡率、5岁以下儿童中重度营养不良比重等6个指标进行综合分析。结果  2015年儿童保健情况较好的省市为江苏、上海、陕西、浙江、北京,较差的省市为河南、广西、青海、海南、新疆、西藏,其余省市均为一般。结论  儿童保健情况与该地区经济社会等综合发展水平有关,应进一步加大边缘少数民族地区儿童保健工作,加强低出生体重儿保健工作。

关键词: 秩和比法, 儿童保健服务, 综合评价

Abstract: Objective  To comprehensively evaluate the national child health care status in 2015, and horizontally compare the quality of children health care in 31 provinces, autonomous regions and municipalities of China, provide reference basis for making policies. Methods  Rank sum ratio was used to comprehensively analyze  the visit rate of neonates,  systematical management rate of children under three years old, health care management rate of children under seven years old, proportion of infants with birth weight less than  2 500  g, mortality rate of perinatal infants and  proportion of moderate to severe malnutrition among the children under five years old. Results  The situation where children health care was good included Jiangsu, Shanghai, Shanxi, Zhejiang  and Beijing. The situation where that  was relatively poor contained Henan, Guangxi, Qinghai, Hainan, Xinjiang and Xizang. Besides, the situation where that was relatively common involved the rest provinces, autonomous regions and municipalities. Conclusion  The situation of children health care is related to the level of economic development, should further increase the marginal ethnic minority areas and the low birth weight infant health care work.

Key words: rank sum ratio, children health service, comprehensive evaluation