摘要
目的围绕健康中国15项行动,构建健康中国行动评价指标体系,评估山东省16个市健康山东推进效果,识别发展短板,提出干预策略。方法以《健康中国行动2021―2022年考核指标体系》为基础,依据指标的重要性、代表性及可获得性,结合专家意见,识别指标体系。其后,利用逼近理想解排序法(technique for order preference by similarity to an ideal solution,TOPSIS)评估健康山东2020年的推进效果,并用仪表盘分析识别各市发展短板。结果健康中国指标体系包括健康危险因素控制、健康服务提供和健康结果三个维度。比较健康中国行动2030年目标值和各项指标在16市的最大值,取相对大的值作为TOPSIS的最优解,2020年山东省健康中国行动指数平均值为0.558,青岛市排名最高(0.696),菏泽市排名最低(0.386)。山东省在健康危险因素控制方面的变异系数最大(0.226),在健康结果方面的变异系数最小(0.144)。结论山东省16个城市已基本实现健康中国行动2022年目标值,但距离2030年目标还存在一定差距,且地区间以及不同维度间发展不平衡的问题突出,着重关注健康危险因素控制。
Objective This study aims to propose a comprehensive evaluation index system for Healthy China initiative based on 15 special campaigns.Using this index system,the study evaluated the progress of the initiative,and then identified the shortcomings,as well as put forward improvement strategies for 16 cities of Shandong Province.Methods Integrating"the Assessment implementation plan for Healthy China initiative Plan from 2021 to 2022"with multiple experts’views,indicators were identified according to indicators importance,indicators representativeness,and data availability.Technique for order preference by similarity to an ideal solution(TOPSIS)method was applied to evaluate the Healthy China initiative,and dashboard analysis was used to identify the shortcomings of each city.Results Three dimensions,including prevention and control of health risk factors,health service provision,and health outcomes,were identified.Comparing the Healthy China initiative 2030 targets and the maximum value of each indicator in 16 cities,Shandong province,when the relatively large value was taken as the ideal solution of TOPSIS,the mean value of the Healthy China initiative index in Shandong province was 0.558 in 2020.Qingdao was ranked the highest(0.696),and Heze the lowest(0.386).The coefficient of variation for dimension of prevention and control of health risk factors was the highest(0.226),the coefficient for dimension of health outcomes was the lowest(0.144).Conclusions Sixteen cities in Shandong province have basically achieved the targets required by the Healthy China initiative 2022,but there were significant gaps from the targets required to achieve by 2030.Unbalanced development across cities and dimensions was prominent,and prevention and control of health risk factors should be emphasized.
作者
宗靖茹
孙汉辰
谭晖
王箐
迟蔚蔚
ZONG Jing-ru;SUN Han-chen;TAN Hui;WANG Qing;CHI Wei-wei(Department of Biostatistics,School of Public Health,Cheeloo College of Medicine,Shandong University,Jinan 250012,China;National Institute of Health Data Science of China,Jinan 250003,China;National Administration of Health Data,Jinan 250002,China)
出处
《中华疾病控制杂志》
CAS
CSCD
北大核心
2022年第10期1192-1198,共7页
Chinese Journal of Disease Control & Prevention
基金
国家重点研发计划(2020YFC2003500)。
