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目的对重庆市区县级妇幼保健机构卫生资源投入指标进行综合分析和评价,提取准确、关键的重要指标,为研究者和决策者提供妇幼卫生资源合理配置的科学参考依据。方法选取重庆市39个区县级妇幼保健机构2010-2012年度妇幼保健机构监测报表和数据,应用文献资料分析优选法、变异系数法、聚类分析法和因子分析法等,对数据和指标进行综合分析、筛选和评价。结果应用变异系数法选中8项指标,应用指标聚类法选中5项指标,因子分析法选中3项指标。结合3种方法 ,最终选取至少有两种方法都选中的指标,包括有职工总数、业务用房面积、实际开放总床位日数、固定资产、医疗支出5项指标。结论应用聚类分析法和因子分析法选取的5项关键指标,对指导相关部门进行卫生资源的配置和改善运营状况起到一定的参考作用。研究中可以应用多种方法对海量数据进行综合分析和评价,选取关键指标,为妇幼卫生研究者和行政管理者推动妇幼保健机构的发展提供参考依据。
Objective To comprehensively analyze and evaluate the indicators of health resources input in Chongqing’s district-level MCH institutions and to extract accurate and key indicators to provide researchers and decision-makers with a scientific reference for rational allocation of MCH resources. Methods The report and data of maternal and child health care institutions in 39 districts and counties in Chongqing Municipality from 2010 to 2012 were selected, and the data and indicators were synthesized by literature analysis and optimization method, mutation coefficient method, cluster analysis and factor analysis Analysis, screening and evaluation. Results Eight variables were selected by using the coefficient of variation (CV) method. Five indicators were selected by index clustering and three indicators by factor analysis. Combining the three methods, we finally select the indicators that have at least two methods selected, including the total number of employees, the area of business space, the total number of beds open days, fixed assets, medical expenses 5 indicators. Conclusion The five key indicators selected by cluster analysis and factor analysis play a certain reference role in guiding the relevant departments in allocating health resources and improving operating conditions. In the research, a variety of methods can be applied to comprehensively analyze and evaluate the massive data, select the key indicators, and provide reference for the MCH researchers and administrators to promote the development of MCH institutions.