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目的了解2004-2013年河南省孕产妇保健工作的开展情况以及工作质量。方法以2004-2013年高危产妇比重、建卡率、系统管理率、产前检查率、产后访视率、孕产妇死亡率(1/10万)、住院分娩率、新法接生率等指标为基础,运用TOPSIS法、秩和比(RSR)法和密切值法对各年孕产妇保健情况进行综合评价。结果河南省孕产妇保健情况逐年改善,2010年、2011年、2012年、2013年保健情况较好,2004年孕产妇保健情况较差。从总体趋势来看,河南省的孕产妇保健情况是逐渐改善的,虽然各方法结果的排序值有差异,但总的变化趋势一致。结论 TOPSIS法、RSR法和密切值法评价结果基本一致,能够客观、准确、全面地反映孕产妇保健情况。
Objective To understand the implementation of maternal health care and quality of work in Henan Province from 2004 to 2013. Methods Based on the indicators such as the proportion of high-risk maternal women, card rate, system management rate, antenatal examination rate, postpartum visit rate, maternal mortality rate (1/10000), hospital delivery rate and new birth rate from 2004 to 2013 , TOPSIS method, rank sum ratio (RSR) method and close value method were used to evaluate the maternal health condition in each year. Results The situation of maternal health care in Henan Province improved year by year. The health condition in 2010, 2011, 2012 and 2013 was better, and the maternal health condition in 2004 was worse. In terms of the overall trend, the situation of maternal health care in Henan Province has been gradually improved. Although there is a difference in the rankings of the results of various methods, the overall trend of change shows the same trend. Conclusion The results of TOPSIS, RSR and DCE are basically the same, which can reflect the situation of maternal health objectively, accurately and comprehensively.