沪陕传染病组织体系完善程度研究
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摘要
目的综合评价沪陕两地传染病领域的组织体系完善程度,分析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)之间的相关性。方法系统收集沪陕两地传染病领域有关组织体系完善程度的所有政策文件,运用Spearman相关和单因素线性回归分析沪陕两地组织体系完善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,沪陕两地组织体系完善程度分别由36.80%、27.95%提升到62.93%、47.17%,均呈上升趋势,其中上海优于陕西,且均与传染病发病率呈显著负相关(r=-0.84、-0.66,P<0.01,调整R~2=0.69、0.00)。结论沪陕两地组织体系完善程度对传染病防控的作用已初步体现,但陕西仍需进一步提升组织协调的权威程度以及各方职责分工明确程度。
Objective To comprehensively evaluate the completeness of infectious diseases organization system of Shanghai and Shaanxi,and explore its correlation with the incidence of infectious diseases of Class A and B(abbreviated as the incidence of infectious diseases). Methods All policy documents related to the completeness of infectious diseases organization system in Shanghai and Shaanxi were systematically collected.Spearman correlation and linear regression were used to analyze the relationship between the completeness of infectious diseases organization system and the incidence of infectious diseases. Results During 2000-2017,the completeness of infectious diseases organization system in Shanghai and Shaanxi increased from 36.80% and 27.95% to 62.93% and 47.17%,Shanghai was superior to Shaanxi.The completeness showed a significant negative correlation with the incidence of infectious diseases in both Shanghai and Shaanxi(r=-0.84,-0.66,P<0.01,adjusted R~2=0.69,0.00). Conclusion The role of the completeness of infectious diseases organization system in Shanghai and Shaanxi has initially reflected.However,the degree of authority coordination should be further promoted,and the division of responsibilities needs to be clearer in Shaanxi province.
Objective To comprehensively evaluate the completeness of infectious diseases organization system of Shanghai and Shaanxi,and explore its correlation with the incidence of infectious diseases of Class A and B(abbreviated as the incidence of infectious diseases). Methods All policy documents related to the completeness of infectious diseases organization system in Shanghai and Shaanxi were systematically collected.Spearman correlation and linear regression were used to analyze the relationship between the completeness of infectious diseases organization system and the incidence of infectious diseases. Results During 2000-2017,the completeness of infectious diseases organization system in Shanghai and Shaanxi increased from 36.80% and 27.95% to 62.93% and 47.17%,Shanghai was superior to Shaanxi.The completeness showed a significant negative correlation with the incidence of infectious diseases in both Shanghai and Shaanxi(r=-0.84,-0.66,P<0.01,adjusted R~2=0.69,0.00). Conclusion The role of the completeness of infectious diseases organization system in Shanghai and Shaanxi has initially reflected.However,the degree of authority coordination should be further promoted,and the division of responsibilities needs to be clearer in Shaanxi province.
引文
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[3] 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.
[4] 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.
[5] 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.
[6] 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.
[7] 陶莹,李程跃,于明珠,等.公共卫生体系要素的确认与研究[J].中国卫生资源,2018,21(3):207-213.
[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] 上海市加强公共卫生体系建设三年行动计划课题组.《上海现代化国际大都市公共卫生绩效体系构建》结题报告[R].2018.
[11] 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.
[12] 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.
[13] 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.
[14] 梁万年,饶克勤,王亚东,等.卫生事业管理学[M].第3版.北京:人民卫生出版社,2016:33-34.
[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] 中国发展网.张毓辉:“健康中国需树立更大的健康观”[EB/OL].[2017-12-22]http://www.chinadevelopment.com.cn/zk/yw/2017/12/1213759.shtml
[18] 王晶.云南边境地区传染病防治多部门合作机制研究[D].云南财经大学,2015.
[19] 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.
[20] 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.
[21] 王百锁,李翔,常文辉,等.陕西省HIV感染者和艾滋病患者管理模式[J].中国公共卫生,2007,23(12):1 418-1 419.