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· 212 · Journal of Nanjing Medical University（Social Sciences）of Nanjing Medical University（Social Sciences） 2021年6月
Journal
［14］ 徐楠，刘克军，顾雪非，等. 糖尿病高危人群强化干预 Achieving maternal and child health gains in Afghani⁃
管理成本分析［J］. 卫生经济研究，2016（5）：14-17 stan：a countdown to 2015 country case study［J］. Lan⁃
［15］ 刘明，孙利华，刘国恩. 中国城镇居民 5 种慢性疾病的 cet Glob Health，2016，4（6）：e395-e413
经济负担和经济风险［J］. 北京大学学报（医学版）， ［17］ 郝模. 卫生政策学［M］. 银川：宁夏人民出版社，2005：
2014，46（5）：782-789 10-12
［16］ AKSEER N，SALEHI A S，HOSSAIN S M，et al. （本文编辑：姜 鑫）

Analysis on the clarity degree of government investment in the field of

prevention and control of chronic diseases in Fujian and Jiangxi

Province

1，2
1，3
1，3
1，2
HAN Xiangru ，LI Chengyue ，HAO Mo ，QIAN Dongfu ，LIN Zhenping 1，2
1. Collaborative Innovation Center of Social Risks Governance in Health，Shanghai 200032；2. School of Health Policy and
Management，Nanjing Medical University，Nanjing 211166；3. Research Institute of Health Development Strategies，Fudan
University，Shanghai 200032，China
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.
Key words：financing and compensation mechanism；chronic disease；health outcome；investment clarity；
expenditure