摘要
目的分析2002—2017年云南与广西两地传染病防控管理与监控机制的可行程度的变化,探寻可行程度变化对传染病防治效果的影响,为传染病防控工作提供依据。方法系统完整收集云南与广西两地所有官方发布涉及传染病防控管理工作的政策文本,量化政策文件内容形成相关字段,赋值统计形成可行程度值。使用Excel 2016进行摘录、整理、建立数据库,分析管理与监控机制可行程度变化情况。运用Spearman相关分析及线性回归分析,研究可行程度与甲、乙类传染病发病率之间的关系。结果2002—2017年,云南传染病领域监控与管理机制的可行程度从15.49%上升至16.90%,可行程度与甲、乙类传染病发病率呈负相关(P<0.05)。广西传染病领域监控与管理机制的可行程度从15.80%上升至16.22%,可行程度与甲、乙类发病率之间无相关性。结论云南与广西两地传染病管理与监控机制可行程度提高缓慢,两地传染病防控相关部门(机构)职责落实缺乏有效监控,需进一步明确各相关方职责,设置相应考核监督主体,提升管理与监控机制可行程度,以降低传染病发病率。
Objective To analyze the changes of the feasibility of the prevention and control management and monitoring mechanism of infectious diseases in Yunnan and Guangxi from 2002 to 2017.Furthermore,to investigate the impact of these changes on the prevention and control of infectious diseases in order to provide evidence for infectious disease prevention and control practice.Methods All officially released policy texts on the management of infectious disease prevention and control in Yunnan and Guangxi during the study period were systematically collected.The contents of these documents were quantified into certain relevant fields,and were assigned for“feasible values”.Excel 2016 was used to extract,organize,and establish a database to analyze the changes in the feasibility of management and monitoring mechanisms based on the values.Spearman correlation and linear regression were used to investigate the relationship between the feasibility and the incidence of Class A and B infectious diseases.Results From 2002 to 2017,the feasibility of monitoring and management mechanisms in the field of infectious diseases in Yunnan increased from 15.49% to 16.90%.Annually feasibility was negatively correlated with the incidence of Class A and B infectious diseases(P<0.05).In Guangxi,the feasibility increased from 15.80% to 16.22%.No correlation was found between the feasibility and the incidence of infectious diseases in Guangxi.Conclusion The feasibility of the management and monitoring mechanism for infectious diseases in Yunnan and Guangxi increased gradually during the study period.The implementation of the responsibilities of the prevention and control agencies was not effectively monitored in the two provinces.This study suggests that infectious disease prevention and control responsibilities of relevant departments should be further clarified.Supervision agencies should be properly set to improve the feasibility of management and monitor mechanism,so that the incidence of infectious diseases could be further reduced.
作者
蒲懿
陈菲
李力
王旭
严云鹰
张琪明
张燕燕
陈超亿
杨旭
胡志
郝模
蒲川
PU Yi;CHEN Fei;LI Li;WANG Xu;YAN Yun-ying;ZHANG Qi-ming;ZHANG Yan-yan;CHEN Chao-yi;YANG Xu;HU Zhi;HAO Mo;PU Chuan(School of Public Health and Management,Chongqing Medical University,Chongqing 400016,China;Research Center for Medicine and Social Development,Chongqing 400016,China;Research Institute of Health Development Strategies,Fudan University,Shanghai 200032,China;Nanjing Medical University,Nanjing 211166,Jiangsu China;School of Public Health,Harbin Medical University,Harbin 150081,Heilongjiang China;School of Public Health,Xinjiang Medical University,Urumqi 830011,Xinjiang China;Anhui Medical University,Hefei 230032,Anhui China;Collaborative Innovation Center of Social Risks Governance in Health,Fudan University,Shanghai 200032,China;Collaborative Innovation Center of Social Risks Governance in Health,Chongqing Medical University,Chongqing 400016,China)
出处
《中国卫生资源》
北大核心
2019年第6期477-481,共5页
Chinese Health Resources
基金
上海市加强公共卫生体系建设三年行动计划(2015年—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
关键词
传染病防控
管理与监控机制
覆盖程度
可考核程度
考核主体
甲乙类传染病发病率
infectious disease prevention and control
management and monitoring mechanism
coverage degree
assessable degree
subject of assessment
incidence of class A and B infectious diseases
