沪蒙从事传染病防治卫生人员规模适宜程度研究
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摘要
目的比较沪蒙两地从事传染病防治卫生人员规模的适宜程度,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)的相关性。方法收集1995～2017年所有涉及沪蒙传染病领域人力资源问题的文献,摘录卫生人员数量不足问题的相关表述,计算严重程度评分,并换算成人员规模适宜程度。运用Spearman相关、线性回归分析从事传染病防治卫生人员规模适宜程度与传染病发病率的关系。结果上海市从事传染病防治卫生人员规模适宜程度从2000年的20.00%上升到2017年的36.00%,同期,内蒙古适宜程度由0.00%上升到28.00%;2000～2017年上海市传染病发病率从271.66/10万下降到161.31/10万,内蒙古传染病发病率从198.86/10万上升到267.35/10万。上海市的相关分析结果显示从事传染病防治卫生人员规模适宜程度与传染病发病率存在显著负相关(P<0.05),相关系数为-0.56。结论上海市从事传染病防治卫生人员规模适宜程度总体优于内蒙古,且上海市从事传染病防治卫生人员规模适宜程度对传染病发病率影响显著,人员规模越适宜,传染病发病率越低。
Objective To compare the appropriateness of the scale of infectious disease prevention and treatment workers in Shanghai and Inner Mongolia,and analyze the correlation between the appropriate scale of infectious disease prevention and treatment workers and infectious diseases incidence. Methods The research papers on infectious diseases human resource of Shanghai and Inner Mongolia during 1995-2017 were collected,the relevant expression of insufficient quantity of infectious disease prevention and treatment workers was excerpted,and the severity score was calculated,then it was converted into the appropriateness of personnel scale.Spearman correlation and linear regression analysis were used to analyze the relationship between the appropriate scale of infectious disease prevention and treatment workers and infectious diseases morbidity ratio. Results The appropriateness of the scale of infectious disease prevention and treatment workers in Shanghai increased from 20.00% in 2000 to 36.00% in 2017,during the same period,Inner Mongolia increased from 0.00% to 28.00%.The incidence of infectious diseases in Shanghai dropped from 271.66/10~5 to 161.31/10~5 in 2000-2017,and it in Inner Mongolia rose from 198.86/10~5 to 267.35/10~5.The correlation analysis of Shanghai showed that there was a significant negative correlation between the appropriateness of the scale of infectious disease prevention and treatment workers and infectious diseases incidence(P<0.05),and the correlation coefficient was-0.56. Conclusion The appropriateness of the scale of infectious disease prevention and treatment workers of Shanghai is generally better than Inner Mongolia,and it has a significant impact on infectious diseases incidence in Shanghai,the more appropriate of personnel scale,the lower infectious diseases incidence.
Objective To compare the appropriateness of the scale of infectious disease prevention and treatment workers in Shanghai and Inner Mongolia,and analyze the correlation between the appropriate scale of infectious disease prevention and treatment workers and infectious diseases incidence. Methods The research papers on infectious diseases human resource of Shanghai and Inner Mongolia during 1995-2017 were collected,the relevant expression of insufficient quantity of infectious disease prevention and treatment workers was excerpted,and the severity score was calculated,then it was converted into the appropriateness of personnel scale.Spearman correlation and linear regression analysis were used to analyze the relationship between the appropriate scale of infectious disease prevention and treatment workers and infectious diseases morbidity ratio. Results The appropriateness of the scale of infectious disease prevention and treatment workers in Shanghai increased from 20.00% in 2000 to 36.00% in 2017,during the same period,Inner Mongolia increased from 0.00% to 28.00%.The incidence of infectious diseases in Shanghai dropped from 271.66/10~5 to 161.31/10~5 in 2000-2017,and it in Inner Mongolia rose from 198.86/10~5 to 267.35/10~5.The correlation analysis of Shanghai showed that there was a significant negative correlation between the appropriateness of the scale of infectious disease prevention and treatment workers and infectious diseases incidence(P<0.05),and the correlation coefficient was-0.56. Conclusion The appropriateness of the scale of infectious disease prevention and treatment workers of Shanghai is generally better than Inner Mongolia,and it has a significant impact on infectious diseases incidence in Shanghai,the more appropriate of personnel scale,the lower infectious diseases incidence.
引文
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[14] 苏彬彬,曹炜,贾金忠,等.我国疾病预防控制机构人力资源现状及其配置公平性研究[J].中国卫生政策研究,2016,9(6):75-80.
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[2] 谢德涓.北京市基层传染病防制人力资源现状调查[J].首都公共卫生,2007,1(5):212-214.
[3] 索罗丹,王全意,颜江瑛,等.传染病防制相关人力资源研究现状及发展策略[J].中国公共卫生管理,2007,23(1):9-11.
[4] 朱晓丽,陈庆琨,杨顺心.新一轮医改以来我国基层卫生人力资源现状及问题分析[J].中国卫生政策研究,2015,8(11):57-62.
[5] 刘靓,夏代提古丽·苏拉衣曼,吴静.2010～2015年我国新疆疾控机构传染病控制人力资源变化趋势分析[J].中国现代医药杂志,2017,19(5):14-19.
[6] 蒋宁,刘民.基层疾病预防控制机构人力资源现状及改进对策[J].现代预防医学,2007,34(4):842-843,845.
[7] 刘洋,高燕琳,张永强,等.2015年北京市医疗卫生机构传染病疫情报告管理人员现状分析[J].首都公共卫生,2017,11(6):278-280,283.
[8] 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.
[9] 上海市卫生和计划生育委员会.上海市卫生计生数据[EB/OL].[2018-12-05].http://www.wsjsw.gov.cn/wsj/n429/n432/n14
88/n1490/index.html.
[10] 中国经济社会大数据研究平台.中国卫生和计划生育统计年鉴[EB/OL].[2018-12-05].http://data.cnki.net/Yearbook/Single/%20N2017120225.
[11] 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):905-906,910,907-909.
[12] Avi Yacar Ellencweig.Analyzing Health Systems:a modular approach[M].London:Oxford University Press,1992.
[13] 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.
[14] 苏彬彬,曹炜,贾金忠,等.我国疾病预防控制机构人力资源现状及其配置公平性研究[J].中国卫生政策研究,2016,9(6):75-80.
[15] 刘民,蒋宁,王丽敏,等.四省基层医疗卫生机构传染病监测人力资源现状调查[J].中华疾病控制杂志,2009,13(2):130-133.
[16] 代伯峰,徐东,何文俊,等.2011～2015年广东省基层卫生人力资源状况分析[J].现代预防医学,2018,45(4):650-654,673.
[17] 马子霞.内蒙古基本医疗卫生服务发展现状及对策研究[J].内蒙古财经大学,2016.
[18] 孙静,张楠,陈云,等.内蒙古自治区村卫生室建设现状及服务功能调查[J].现代预防医学,2015,42(2):259-261,284.
[19] 闫春雁.内蒙古农村牧区卫生服务研究[D].内蒙古农业大学,2006.