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Abstract：
Child health is an important public health issue in China and the Chinese government always attached great importance to child health care. With the implementation of a series of medical and health reforms in China in recent decades, the status of child health improved year by year. Objectives This study aims to comprehensively evaluate if the measures implemented in the medical and health reforms effectively promoted the development of Chinese child health care in recent years and provide theoretical support for future decision-making on the policies of child health care in China. Methods A total of six indicators were selected from the China Health Statistics Yearbook. Based on the multi-criteria decision analysis (MCDA) algorithm, three different evaluation methods were applied in the study, which are the weighted technique for order preference by similarity to an ideal solution (TOPSIS) method, the weighted rank-sum ratio (RSR) method, and the fuzzy comprehensive evaluation (FCE). Each indicator\'s weight was calculated by the entropy weight methods objectively. The sensitivity analysis was conducted to validate the stability and accuracy of the rank results. Results The results indicated that the rank values of each year\'s child health care calculated by the different evaluation methods were not exactly the same, but the overall trend is consistent which is that child health care in China improved year by year from 2000 to 2020. The top 5 were ranked from 2016-2020 and the bottom 5 were ranked from 2000-2004. Conclusions The results indicated that the policies and measures implemented in the medical and health reforms, as well as improved sanitation conditions, availability of healthy food and water, etc., have jointly promoted the development of child health care in China in the past 20 years, providing a scientific theoretical basis for future policy-making to promote child health care.
摘要：
儿童健康是中国重要的公共卫生问题，中国政府一直高度重视儿童保健。随着近几十年来我国一系列医疗卫生改革的实施,儿童健康状况逐年改善。目的综合评价近年来我国医疗卫生改革措施是否有效促进了我国儿童保健事业的发展,为今后我国儿童保健政策的决策提供理论支持。方法从《中国卫生统计年鉴》中选取6项指标。基于多准则决策分析(MCDA)算法,研究中应用了三种不同的评价方法，它们是通过与理想解(TOPSIS)方法相似来进行订单偏好的加权技术，加权秩和比(RSR)方法，和模糊综合评价(FCE)。通过熵权法客观地计算了各指标的权重。进行了敏感性分析，以验证排名结果的稳定性和准确性。结果不同评价方法计算的各年儿童保健等级值不完全相同,但总体趋势是一致的，从2000年到2020年，中国的儿童保健水平逐年提高。前5名是2016-2020年的排名，后5名是2000-2004年的排名。结论医疗卫生改革实施的政策措施,以及改善卫生条件，健康食物和水的供应，等。,在过去的20年里，共同促进了中国儿童保健的发展，为今后促进儿童保健的政策制定提供科学的理论依据。
