目的运用TOPSIS法和秩和比法对2008~2017年广西钦州市妇幼卫生管理质量进行综合评价,分析钦州市10年妇幼健康服务工作的发展情况和变化趋势。方法选取2008~2017年钦州市出生缺陷发生率、婴儿死亡率、出生低体重发生率等12项指标,运用TOPSIS法和秩和比法对钦州市2008~2017年妇幼卫生管理质量进行综合分析和评价。结果TOPSIS法分析结果显示,Ci平均值为0.425,2008~2013年钦州市妇幼卫生管理质量的Ci值均没有达到平均水平,2014~2017年Ci值超过了平均水平,其中2008年最差,2017年最好,2008~2017年的工作质量逐年改善。秩和比法排序分档显示,2008年、2009年钦州市妇幼卫生管理质量处于较差水平,2010~2014年处于中间水平,2015~2017年处于最优水平。结论钦州市政府和相关医疗机构对妇幼健康工作高度重视,采取了有力措施,积极实施或推进了一系列妇女健康行动和妇幼卫生项目,通过加强妇幼健康工作,在提升妇幼卫生综合服务质量和水平方面取得了一定的成效。
ObjectiveTo comprehensively evaluate the maternal and child health care service quality in Qinzhou of Guangxi from 2008 to 2017 using TOPSIS method and rank sum ratio methods, to analyze and compare the development and variation tendency of maternal and child health care service in Qinzhou over the last decade. MethodsTwelve indexes, including incidence rate of birth defects, the infant mortality rate, and incidence rate of low birth weight et al, were selected to comprehensively analyze and evaluate maternal and child health care service quality in Qinzhou from 2008 to 2017 using TOPSIS method and rank sum ratio methods. ResultsThe analytical results of TOPSIS method revealed that the average value of Ci was 0.425. The Ci values of maternal and child health care service quality in Qinzhou from 2008 to 2013 did not reach the average level, whereas the Ci values from 2014 to 2017 were superior to the average level, with the worst year in 2008 and the best year in 2017 among them. The service quality of maternal and child health care quality in Qinzhou improved gradually from 2008 to 2017. The results of rank sum ratio method showed that the service quality of maternal and child health care in Qinzhou was at poor levels in 2008 and 2009, whereas at medium levels from 2010 to 2014, then at the optimal levels from 2015 to 2017. ConclusionDue to the high attention attached to maternal and child health care service by the Qinzhou government and relevant medical institutions, effective measures have been taken, and a series of women health actions and maternal and child health projects have been actively implemented; through strengthening maternal and child health care service, some certain achievements have been made in improving the quality and level of comprehensive maternal and child health care service.