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中国初级卫生保健:2026,40(6):57-60
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基于TOPSIS法和秩和比法的 潍坊市妇幼基本公共卫生服务质量综合评价*
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中文摘要: 摘 要:目的:了解2020—2024年潍坊市妇幼基本公共卫生服务质量情况,提出具有针对性的政策建议,为妇幼保健 机构提升妇幼基本公共卫生服务水平提供科学支撑。方法:选取新生儿访视率、3岁以下儿童系统管理率、7岁以下儿童健 康管理率、孕产妇孕早期检测率、孕产妇健康管理率、产后访视率、0~6岁儿童视力不良检出率、5岁以下儿童生长迟缓率、 孕产妇死亡率、婴儿死亡率等妇幼基本公共卫生服务质量相关评价指标,运用TOPSIS 法与秩和比法对山东省潍坊市12县 (市、区)妇幼基本公共卫生服务进行综合评价。结果: TOPSIS 法评价结果显示2020—2024年潍坊市妇幼公共卫生服务水 平呈稳定提升趋势,2024年妇幼公共卫生服务水平最高;秩和比与TOPSIS 法皆显示L 县(市、区)的妇幼公共卫生服务水 平最优, H 县(市、区)的妇幼公共卫生服务水平相对较差。结论:潍坊市12县(市、区)的妇幼基本公共卫生服务质量 整体呈现改善态势,但仍有部分指标尚需优化,区域间服务水平不均衡,部分县(市、区)服务问题亟待解决。
Abstract:Abstract: OBJECTIVE To understand the quality of maternal and child basic public health services in Weifang from 2020 to 2024,to propose targeted policy recommendations,and to provide scientific support for maternal and child health institutions to improve their service levels.METHODS Relevant evaluation indicators for maternal and child basic public health service quality were selected, including:neonatal visit rate,system management rate for children under 3 years,health management rate for children under 7 years, early pregnancy detection rate,maternal health management rate,postpartum visit rate,vision impairment detection rate for children aged 0-6 years,stunting rate for children under 5 years,maternal mortality rate,and infant mortality rate.The TOPSIS method and the rank sum ratio(RSR)method were used to comprehensively evaluate the maternal and child basic public health services in 12 counties (cities/districts)of Weifang,Shandong Province.RESULTS The TOPSIS evaluation results showed that the maternal and child public health service level in Weifang from 2020 to 2024 exhibited a steady upward trend,with the highest level achieved in 2024.Both the RSR and TOPSIS methods indicated that County L(city/district)had the best maternal and child public health service level,while County H (city/district)had a relatively poor level.CONCLUSION The overall quality of maternal and child basic public health services in the 12 counties(cities/districts)of Weifang shows an improving trend.However,some indicators sillneed optimization.There is an imbalance in service levels across regions,and service issues in certain counties(cities/districts)urgently need to be addressed.
文章编号:3202410013     中图分类号:R197    文献标志码:
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