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目的针对全国2013年儿童保健工作质量进行综合分析,评价全国31个省辖市儿童保健情况的发展和优劣程度。方法应用TOPSIS法分析评价出生体重<2 500 g婴儿比重、围产儿死亡率、5岁以下儿童中重度营养不良比重、新生儿访视率、3岁以下儿童系统管理率及7岁以下儿童保健管理率6项指标。结果排名前3位的分别为上海(C=0.780 3)、北京(C=0.621 3)和重庆(C=0.306 6),末3位分别为青海(C=0.135 1)、广西(C=0.116 7)和西藏(C=0.000 0)。结论 TOPSIS法能够简便、准确地分析出我国各地区儿童保健工作的优劣程度,政府可根据各个地区的特点,采取有针对性的改进措施,进一步改善儿童保健工作,提高儿童健康水平。
Objective To conduct a comprehensive analysis on the quality of child health care work in 2013 in China and evaluate the development and advantages and disadvantages of child health care in 31 provincial cities. Methods The TOPSIS method was used to evaluate the proportion of babies with birth weight <2 500 g, perinatal mortality, the proportion of moderate to severe malnutrition in children under 5, the neonatal visit rate, the system management rate of children under 3 and the health management of children under 7 years old Rate 6 indicators. The top three cities in China were Shanghai (C = 0.7803), Beijing (C = 0.621 3) and Chongqing (C = 0.306 6), and the last three were Qinghai (C = 0.135 1) and Guangxi 7) and Tibet (C = 0.000 0). Conclusion The TOPSIS method can easily and accurately analyze the advantages and disadvantages of child health care work in all regions of our country. According to the characteristics of each region, the government can take targeted improvement measures to further improve child health care and improve children health.