浙沪两地传染病领域财力资源配置适宜程度分析
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1.安徽医科大学卫生管理学院;2.复旦大学卫生发展战略研究中心;3.重庆医科大学公共卫生与管理学院;4.山东大学公共卫生学院;5.中国健康促进与教育协会疾病预防控制分会;6.常州市疾病预防控制中心;7.安徽医科大学

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基金项目:

上海市加强公共卫生体系建设三年行动计划(2015年-2017年)项目(GWIV-32);“健康相关重大社会风险预警协同创新中心科研基金”;安徽省高校智库项目(皖教工委函(2015)271号)


Analysis on the Appropriate Degree of Financial Resources Allocation in the Field of Infectious Diseases in Zhejiang and Shanghai
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Affiliation:

1.Anhui Medical University School of Health Management;2.School of Health Management, Anhui Medical University;3.Center for Strategic Research on Health Development, Fudan University;4.School of Public Health and Management, Chongqing Medical University;5.School of Public Health, Shandong University;6.Disease Prevention and Control Branch of China Association for Health Promotion and Education;7.Changzhou Center for Disease Control and Prevention;8.Anhui Medical University

Fund Project:

Shanghai Three-Year Action Plan for Strengthening Public Health System Construction (2015-2017) (GWIV-32); Research Fund for “Health-Related Major Social Risk Early Warning Collaborative Innovation Center”; Anhui Provincial University Think Tank Project (皖 2015) No. 271)

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    摘要:

    析浙沪两地财力资源配置适宜程度对传染病领域的防控程度,以及其与甲、乙类传染病发病率的相关性,检验基于适宜的财力资源配置评价传染病防控工作的效果。利用中国知网(CNKI)收集浙沪两地不同年份政府在财政投入的主导情况、财政投入总量的适宜程度、财政投入稳定增长的状态的研究文献,系统收集所有涉及浙沪两地传染病防控工作的文献,综合量化财力资源配置的支撑程度。运用Spearman相关、线性回归分析财力资源配置适宜程度与传染病发病率之间的关系。通过结果发现2001-2017年,浙沪两地财力资源配置适宜程度逐年增加。到2017年浙沪两地财力资源配置适宜程度占比分别达到45.3%和62.0%。两地的甲、乙类传染病发病率与财力资源配置适宜程度之间呈现显著负相关(p<0.01)。因此财力资源配置适宜程度体系应建立投入适宜、保障有力并稳定增长的投入与补偿机制;浙沪两地财力资源配置适宜程度总体上升,但财力投入中政府主导不明确,财政投入缺乏量化标准,难以考核,且增长机制不完善、财力增长不稳定。两地财力资源配置对降低传染病发病率有一定贡献,其中上海的表现程度更明显;量化财力资源配置适宜程度的方法具有可行性。

    Abstract:

    This paper analyzes the degree of prevention and control of the allocation of financial resources in Zhejiang and Shanghai, the degree of prevention and control in the field of infectious diseases, and its correlation with the incidence of Class A and Class B infectious diseases. The test evaluates the prevention and control of infectious diseases based on appropriate financial resources allocation. effect. Use China Knowledge Network (CNKI) to collect research literature on the financial input of the government in different years in Zhejiang and Shanghai, the appropriateness of the total amount of financial input, and the steady growth of fiscal investment, systematically collecting all infectious diseases involving Zhejiang and Shanghai. The literature on prevention and control work comprehensively quantifies the degree of support for the allocation of financial resources. Spearman correlation and linear regression were used to analyze the relationship between the appropriateness of financial resources allocation and the incidence of infectious diseases. Through the results, it was found that the appropriateness of the allocation of financial resources in Zhejiang and Shanghai increased year by year from 2001 to 2017. By 2017, the proportion of financial resources allocation in Zhejiang and Shanghai will account for 45.3% and 62.0% respectively. There was a significant negative correlation between the incidence of infectious diseases of Class A and B and the appropriateness of financial resources allocation in the two places (p<0.01). Therefore, the financial resource allocation appropriateness system should establish an input and compensation mechanism with appropriate investment, strong support and stable growth; the appropriateness of the allocation of financial resources in Zhejiang and Shanghai is generally rising, but the government is not clear in financial input, and the financial input lacks quantitative standards. It is difficult to assess, and the growth mechanism is imperfect and the financial growth is unstable. The allocation of financial resources in the two places has contributed to reducing the incidence of infectious diseases, and the performance of Shanghai is more obvious; the method of quantifying the appropriateness of financial resources allocation is feasible.

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  • 收稿日期:2019-01-22
  • 最后修改日期:2019-05-07
  • 录用日期:2019-09-04
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