闽赣慢性病防治领域政府经费投入明确程度分析
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1.南京医科大学医政学院;2.复旦大学卫生发展战略研究中心;3.健康相关重大社会风险预警协同创新中心

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上海市加强公共卫生体系建设三年行动计划(2015—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;江苏高校哲学社会科学健康政策创新研究团队基金;江苏省社会科学基金项目“新常态下建立江苏产业技术协同创新体系的机制与对策”(17DDB005)


Analysis on the clear degree of government funding in the field of prevention and control of chronic diseases in Fujian and Jiangxi
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1.Research Institute of Health Development Strategies, Fudan University;2.Collaborative Innovation Center of Social Risks Governance in Health, Fudan University;3.School of Health Policy and Management, Nanjing Medical University

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    摘要:

    目的:通过对比福建、江西两省政府投入明确程度的时序变化和异同,明确投入制度保障对实现慢性病健康目标的意义,初步探讨基于政策文本视角量化政府投入明确程度的可行性。方法:收集1991-2017 年所有涉及闽赣两地慢病工作公开相关政策文件,运用综合量化方法量化福建、江西两地慢性病经费投入明确程度,运用线性回归分析明确程度与经费投入水平之间的关系。结果:(1)福建、江西两省经费投入明确程度均在逐年增长;(2)慢性病防治管理政府投入明确程度的提升对于慢性病人群健康结果起促进作用;(3)江西省慢性病防治管理政府投入明确程度对本省慢病防治效果的提升作用略优于福建省。结论:福建、江西两地均加强了政府部门对慢病防治经费投入量化考核的重视;持续性稳定增长的投入是提升慢病防治效果的物质保障;慢病防治领域投入需要良好的政府主导制度和监管体系保障;政策文本中的投入明确程度量化方法可尝试在其他公共卫生研究领域进一步验证与应用。

    Abstract:

    Objective To compare the timing changes and similarities and differences between the two governments in Jiangxi and Fujian, to clarify the significance of the input system guarantee to achieve the health goal of chronic diseases, and to explore the feasibility of quantifying the degree of government investment based on the policy text perspective. Methods All relevant policy documents concerning the work of chronic diseases in Jiangxi and Fujian were collected from 1991 to 2017. The comprehensive quantitative methods were used to quantify the degree of clarity, and linear regression analysis was used to determine the relationship between the degree and the level of funding. Results (1) The level of funding input in Fujian and Jiangxi are increasing year by year; (2) The improvement of the government's investment in the prevention and control of chronic diseases in both provinces have promoted the health outcomes of chronic patient populations in the region.; (3)The government's investment in the prevention and control of chronic diseases in Jiangxi Province is slightly better than the Fujian Province in improving the prevention and treatment of chronic diseases. Conclusion Both Fujian and Jiangxi have strengthened the government's emphasis on the quantitative assessment of the prevention and control of chronic diseases. The continuous and steady growth of investment is the material guarantee to improve the prevention and control of chronic diseases. The investment in the prevention and control of chronic diseases requires a good government-led system and Regulatory system safeguards; the quantitative method of input concentration in the policy text can be further verified and applied in other public health research fields.

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  • 收稿日期:2020-10-01
  • 最后修改日期:2021-03-11
  • 录用日期:2021-06-22
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