浙沪两地传染病计划与评价机制健全程度分析
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1.安徽医科大学卫生管理学院;2.复旦大学;3.重庆医科大学;4.山东大学;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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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);安徽省高校智库项目(皖教工委(2015)271号);健康相关重大社会风险预警协同创新中心科研基金


Analysis on Completeness of Plan and Assessment Mechanism of Infectious disease system of Zhejiang and Shanghai
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Affiliation:

1.Anhui Medical University;2.Fudan University;3.Chongqing Medical University;4.Shandong University;5.Disease Control and Prevention Branch of China Association of Health Promotion and Education;6.Changzhou Center for Disease Control and Prevention

Fund Project:

Shanghai municipal three-year action plan on strengthening public health system construction (2015-2017) project (gwiv-32);Anhui university think tank project (letter of anhui education commission (2015) no. 271);Health-related major social risk early warning collaborative innovation center research fund

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    摘要:

    摘 要:为了探索评价浙沪传染病计划与评价机制健全程度的重要意义,并验证其量化方法的可行性。穷尽收集两地2000-2017年间政府各部门公开发布传染病防制的相关文件,从中提取并量化相关字段,综合形成量化指标“计划与评价机制健全程度”,对比两地传染病计划与评价机制健全程度的时序变化和异同,并运用卫生系统宏观模型、Spearman相关、线性回归等方法,分析结果与甲乙类传染病发病率之间的关系。结果发现2000-2017浙沪传染病计划与评价机制健全程度逐年增加(2017年 浙46.85%vs沪58.95%),并与甲乙类传染病发病率呈现显著负相关关系(P<0.01)。截至2017年底,浙沪两地传染病计划与评价机制得到初步完善,但两地机制仍存在评价指标覆盖程度较低和可落实性较弱的问题,通过提出相应的政策建议,以期进一步完善两地传染病计划与评价机制;量化评价浙沪传染病计划与评价机制健全程度的结果是可信的。

    Abstract:

    Abstract: In order to explores the significance of completeness of plan and assessment mechanism and verifies the feasibility of the quantitative methods, exhausting the collection of the relevant documents of infectious disease prevention and control published in Zhejiang and Shanghai from 2000 to 2017. Extracting and quantifying the relevant fields, and comprehensively forming the quantitative index "completeness of plan and assessment mechanism ". Comparing the time series changes and similarities of completeness of plan and assessment mechanism of infectious disease system between Zhejiang and Shanghai. The health system macro model, Spearman correlation, linear regression and other methods were used to analyze the relationship between the results and incidence of Class A and B legal infectious diseases. The results showed that the completeness of plan and assessment mechanism of infectious disease system between Zhejiang and Shanghai had improved gradually from 2000 to 2017(46.85% vs 58.95% in 2017). The trend of incidence of notifiable infectious diseases showed significant negative correlation to that of the coverage in these two places (p<0.01). By the end of 2017, the plan and assessment mechanism for infectious diseases in Zhejiang and Shanghai has been initially improved. However, the two places still have problems of low coverage of evaluation indicators and weak implementation. By proposing corresponding policy recommendations, it is expected to further improve the plan and assessment mechanism; The results of quantitative evaluation of completeness of plan and assessment mechanism for infectious disease system in Zhejiang and Shanghai are credible.

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  • 收稿日期:2019-01-22
  • 最后修改日期:2019-04-29
  • 录用日期:2019-09-04
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