沪陕传染病防控体系组织架构健全程度研究
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摘要
目的综合分析沪陕两地组织架构健全程度及其与甲乙类法定报告传染病发病率(以下简称传染病发病率)的相关性。方法系统收集沪陕传染病领域有关组织架构健全程度的所有政策与文献,运用Spearman相关和单因素线性回归分析组织架构健全程度与甲乙类法定报告传染病发病率之间的关系。结果 2000～2017年,沪陕组织架构健全程度由55.34%、39.20%上升到77.58%、70.52%,两地的组织架构健全程度与传染病报告发病率均呈现显著负相关关系(r=-0.82、-0.66,P<0.01,调整R~2=0.52、0.00)。结论沪陕两地的组织架构健全程度均呈上升趋势,上海优于陕西。陕西应加强部门合作,纳入相关支撑部门,健全传染病防控工作的组织架构。
Objective To comprehensively evaluate the coverage of infectious diseases organizational structure and the correlation between the incidence of infectious diseases and the coverage of infectious diseases organizations. Methods All policies and literatures concerning the infectious diseases in Shanghai city and Shaanxi province were systematically collected.Spearman correlation and linear regression were used to analyze the relationship between the coverage of infectious diseases organizations and the incidence of infectious diseases. Results During 2000-2017,the coverage of infectious diseasesorganizations of Shanghai and Shaanxi increased from 55.34% and 39.20% to 77.58% and 70.52%.Both of the two places showed a significant negative correlation between the coverage of infectious diseases organizations and the incidence of infectious diseases(r=-0.82,-0.66,P<0.01,adjusted R~2=0.52,0.00). Conclusion Coverage of infectious diseasesorganizations of Shanghai and Shaanxi is on the rise,and the organizational structure of Shanghai is better than that of Shaanxi.Shaanxi should strengthen departmental cooperation,bring relevant supporting departments into the structure,and improve the coverage of infectious diseases organizations.
Objective To comprehensively evaluate the coverage of infectious diseases organizational structure and the correlation between the incidence of infectious diseases and the coverage of infectious diseases organizations. Methods All policies and literatures concerning the infectious diseases in Shanghai city and Shaanxi province were systematically collected.Spearman correlation and linear regression were used to analyze the relationship between the coverage of infectious diseases organizations and the incidence of infectious diseases. Results During 2000-2017,the coverage of infectious diseasesorganizations of Shanghai and Shaanxi increased from 55.34% and 39.20% to 77.58% and 70.52%.Both of the two places showed a significant negative correlation between the coverage of infectious diseases organizations and the incidence of infectious diseases(r=-0.82,-0.66,P<0.01,adjusted R~2=0.52,0.00). Conclusion Coverage of infectious diseasesorganizations of Shanghai and Shaanxi is on the rise,and the organizational structure of Shanghai is better than that of Shaanxi.Shaanxi should strengthen departmental cooperation,bring relevant supporting departments into the structure,and improve the coverage of infectious diseases organizations.
引文
[1] 邓峰,高建民,吕菊红.公共卫生管理的新视角:协作性公共管理[J].中国卫生质量管理,2014,21(1):115-118.
[2] 邹雄.基本公共卫生服务均等化视角下的多部门合作策略研究[D].华中科技大学,2012.
[3] 张毓辉:“健康中国”需树立更大的“健康观”[EB/OL].[2017-12-12].http://www.chinadevelopment.com.cn/zk/yw/2017/12/1213759.shtml.
[4] 谷大巍.探析适应新时期传染病管理的防控系统[J].中国卫生产业,2014,11(32):52+54.
[5] 杜红,郭新彪,王存亮,等.中日传染病防制管理体系的比较[J].中国公共卫生管理,2004,20(5):406-410.
[6] 陈仲丹.艾滋病防治领域多部门合作与社会参与的经验[J].经济与社会发展,2010,8(4):101-103.
[7] 郝模,李程跃,于明珠,等.新时代公共卫生体系的思考与研究[J].上海预防医学,2017,29(12):905-910.
[8] 上海市卫生和计划生育委员会.上海卫生计生数据[EB/OL].[2018/12/04].http://www.wsjsw.gov.cn/wsj/n429/n432/n1488/n1490/index.html.
[9] 陕西省统计局.陕西统计数据库[EB/OL].[2018/12/04].http://tjsjk.shaanxitj.gov.cn:7001/multidimensionalqueryIndex.do.
[10] 赵国华,吴雪桃,黄河秋.网络直报模式对传染病报告发病率的影响[J].现代预防医学,2007,34(15):2 852-2 855.
[11] 金水高,姜韬,马家奇.中国传染病监测报告信息系统简介[J].中国数字医学,2006,1(1):20-22.
[12] 杜虹.疾病监测信息报告系统使用前后传染病报告质量分析[J].疾病监测,2007,22(7):485-488.
[13] 何晔.论中国公共卫生服务组织体系的变迁与发展[J].长春理工大学学报(社会科学版),2012,25(5):19-21.
[14] 郭岩,孙思伟.重振初级卫生保健以实现全民健康覆盖和司特续发展目标——从《阿拉木图宣言》到《阿斯塔纳宣言》最初级卫生保健理念的进步[J].中国农村卫生事业管理,2019,39(1):7-11.
[15] 闫希军,吴廼峰,闫凯境,等.大健康与大健康观[J].医学与哲学,2017,38(5):9-12.
[16] 傅华.以“大卫生大健康观”来建设现代公共卫生体系[J].上海预防医学,2017,29(10):750-753.
[17] 郝模,马安宁,王志锋,等.卫生政策学[M].第2版.北京:人民卫生出版社,2013:30-33.
[18] 邓亚丽,刘卫平,张天华,等.陕西省结核病防治“十二五”规划实施效果[J].职业与健康,2017,33(16):2 210-2 214.
[19] 张天华.陕西省结核病新型防治管理模式的实践与思考[J].中国防痨杂志,2016,38(11):908-912.
[2] 邹雄.基本公共卫生服务均等化视角下的多部门合作策略研究[D].华中科技大学,2012.
[3] 张毓辉:“健康中国”需树立更大的“健康观”[EB/OL].[2017-12-12].http://www.chinadevelopment.com.cn/zk/yw/2017/12/1213759.shtml.
[4] 谷大巍.探析适应新时期传染病管理的防控系统[J].中国卫生产业,2014,11(32):52+54.
[5] 杜红,郭新彪,王存亮,等.中日传染病防制管理体系的比较[J].中国公共卫生管理,2004,20(5):406-410.
[6] 陈仲丹.艾滋病防治领域多部门合作与社会参与的经验[J].经济与社会发展,2010,8(4):101-103.
[7] 郝模,李程跃,于明珠,等.新时代公共卫生体系的思考与研究[J].上海预防医学,2017,29(12):905-910.
[8] 上海市卫生和计划生育委员会.上海卫生计生数据[EB/OL].[2018/12/04].http://www.wsjsw.gov.cn/wsj/n429/n432/n1488/n1490/index.html.
[9] 陕西省统计局.陕西统计数据库[EB/OL].[2018/12/04].http://tjsjk.shaanxitj.gov.cn:7001/multidimensionalqueryIndex.do.
[10] 赵国华,吴雪桃,黄河秋.网络直报模式对传染病报告发病率的影响[J].现代预防医学,2007,34(15):2 852-2 855.
[11] 金水高,姜韬,马家奇.中国传染病监测报告信息系统简介[J].中国数字医学,2006,1(1):20-22.
[12] 杜虹.疾病监测信息报告系统使用前后传染病报告质量分析[J].疾病监测,2007,22(7):485-488.
[13] 何晔.论中国公共卫生服务组织体系的变迁与发展[J].长春理工大学学报(社会科学版),2012,25(5):19-21.
[14] 郭岩,孙思伟.重振初级卫生保健以实现全民健康覆盖和司特续发展目标——从《阿拉木图宣言》到《阿斯塔纳宣言》最初级卫生保健理念的进步[J].中国农村卫生事业管理,2019,39(1):7-11.
[15] 闫希军,吴廼峰,闫凯境,等.大健康与大健康观[J].医学与哲学,2017,38(5):9-12.
[16] 傅华.以“大卫生大健康观”来建设现代公共卫生体系[J].上海预防医学,2017,29(10):750-753.
[17] 郝模,马安宁,王志锋,等.卫生政策学[M].第2版.北京:人民卫生出版社,2013:30-33.
[18] 邓亚丽,刘卫平,张天华,等.陕西省结核病防治“十二五”规划实施效果[J].职业与健康,2017,33(16):2 210-2 214.
[19] 张天华.陕西省结核病新型防治管理模式的实践与思考[J].中国防痨杂志,2016,38(11):908-912.