京沪妇女保健人员素质适宜程度比较

目的分析2000—2017年京沪妇女保健人员素质不足严重程度及孕产妇死亡率的变化趋势,明确两地差异,探讨妇女保健人员素质适宜程度。方法收集1995—2017年所有涉及京沪妇女保健资源问题的文献,系统筛选涉及妇女保健人员素质主题的有关文献,进而计算妇女保健人员素质不足严重程度评分。上海纳入165篇文献,北京纳入147篇。运用Spearman相关、线性回归等方法分析妇女保健人员素质不足严重程度与孕产妇死亡率的关系。结果北京妇女保健人员素质不足严重程度从2000年的3.53分降至2017年的3.12分,上海则由3.70分降至2.12分。上海孕产妇死亡率与妇女保健人员素质不足严重程度相关有统计学意义(r=0.758,P<0.01)。上海的回归方程有统计学意义(P<0.01)。结论京沪两地妇女保健人员素质不断提高,上海妇女保健人员素质在孕产妇死亡率降低中发挥更大作用,但人员专业能力仍需进一步提升;适宜的妇女保健体系应"人员能力胜任工作需要";验证了量化妇女保健人员素质的可行性。

Comparison on quality suitability of maternal health care workers in Beijing and Shanghai:a literature analysis

Objective To examine changing trend in the severity of poor quality of maternal care workers and maternal mortality ratio(MMR)in Beijing and Shanghai from 2000 to 2017,and to analyze the disparity in the severity and MMR between the two cities for exploring the suitability for the quality of maternal health care workers.Methods Through searching literatures published on China National Knowledge Infrastructure(CNKI)and Web of Science from 1995 through2017,we retrieved 147 and 165 studies on comprehensive quality of maternal health care workers in Beijing and Shanghai.A severity score was established to evaluate poor quality of the maternal health care workers.Spearman correlation and linear regression analysis were used to analyze the relationship between the poor quality severity score of the maternal health care workers and MMR for the two cities.Results The poor quality severity score for the maternal health care workers in Beijing decreased from 3.53 in 2000 to 3.12 in 2017;while that for the workers in Shanghai decreased from 3.70 to 2.12.A significant correlation between the MMR and poor quality severity score for maternal health care workers during the period was observed in Shanghai(r=0.758,P<0.01).Conclusion Based on the quantitative analysis,the comprehensive quality of maternal health care workers in Beijing and Shanghai increased during 2000–2017 and the increasing is more obvious for the workers in Shanghai,although the workers′quality still needs to be improved.