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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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 clarity degree of government investment in the field of prevention and control of chronic diseases in Fujian and Jiangxi Province
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    摘要:

    收集1991—2017 年所有涉及福建、江西(闽赣)两地慢性病工作的公开相关政策文件,运用综合量化方法量化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,从而对比福建、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。研究显示,福建、江西两省经费投入明确程度均在逐年增长;慢性病防治管理政府投入明确程度的提升对慢性病人群健康结果起促进作用;江西省慢性病防治管理政府投入明确程度对该省慢性病防治效果的提升作用略优于福建省。提示持续性稳定增长的投入是提升慢性病防治效果的物质保障;慢性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:

    The study was aimed to compare the timing changes and similarities and differences in the clarity degree of investment between the two provincial governments in Jiangxi and Fujian, clarify the significance of the investment system guarantee to achieve the health goal of chronic diseases, and explore the feasibility of quantifying the clarity degree of government investment based on collecting all relevant policy documents concerning the work of chronic diseases in Jiangxi and Fujian from 1991 to 2017,using the comprehensive quantitative methods to quantify the degree of clarity, and using linear regression analysis to determine the relationship between the degree of clarity and the level of investment. The study showed that the level of investment in Fujian and Jiangxi were increasing year by year. The improvement of the government’s investment in the prevention and control of chronic diseases in both provinces had promoted the health outcomes of patients with chronic diseases in the region. The clarity degree of government investment of Jiangxi Province had a slightly better effect on the prevention and control of chronic diseases than Fujian Province. It is suggested that 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, and the quantitative method of investment clarity degree in the policy text can be further verified and applied in other public health research fields.

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韩相如,李程跃,郝 模,钱东福,林振平.闽赣慢性病防治领域政府经费投入明确程度分析[J].南京医科大学学报(社会科学版),2021,(3):207~212

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  • 收稿日期:2020-10-01
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  • 在线发布日期: 2021-07-02
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