ArticleBMC health services research2022
Assessment of maternal services in China based on WHO's comprehensive evaluation model.
Article in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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3 citing papers in PubMed.
- Analysis of Key Driving Factors for Inpatient Service Experience in Obstetrics and Gynecology Specialized Hospitals Based on Random Forest Algorithm.International journal of women's health · 2026Article
- Medical service performance evaluation of tertiary general hospitals in Sichuan Province in China based on diagnosis-related groups.BMC health services research · 2025Article
- Healthcare quality evaluation of tertiary public hospitals in ethnic border regions under China's performance assessment system-based on the entropy weight TOPSIS method and RSR fuzzy set.Frontiers in public health · 2025Article
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3 authors.
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Abstract
backgroundTo understand the trend of equalization in maternal services and to guide policy-makers regarding resource allocation and public health policy in China.
methodsTwelve indicators, including maternal services needs, utilization, and resource allocation, were collected from China Health Statistical Year Book 2010 and 2020. WHO's comprehensive evaluation model and the non-integral Rank Sum Ratio (RSR) method were used to analyze, rank, and categorize maternal services of 31 provinces (cities, autonomous regions) in China.
resultsAll provinces (cities, autonomous regions) are grouped into relative balance areas, low input areas, resource shortage areas, overutilization areas, and resource waste areas. In 2019, there were 18 provinces (cities, autonomous regions) in the relative balanced area, and more than one-half had achieved equal development. Compared to 2009, the resource shortage area decreased from three to zero, and the resource waste area increased from four to six. Among the provinces (cities, autonomous regions) with a type change compared with 2009, eight changed to a relative balance areas, and four showed an improvement.
conclusionUnder the policy guidance of promoting the equalization of public health services, maternal services are gradually realized. However, several provinces (cities, autonomous regions) still have problems such as the mismatch between resource input and health needs, resource waste, over-utilization, etc. Therefore, specific policies should be formulated according to the actual types to promote the transformation into equalization regions.
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