沪陕传染病防控体系协调与激励机制可行程度分析

Analysis on the feasibility degree of coordination and incentive mechanism of infectious disease prevention and control system, Shanghai city and Shaanxi province

目的了解协调与激励机制可行程度的变化趋势,分析其与甲乙类传染病报告发病率(简称传染病发病率)的相关性。方法系统收集上海市和陕西省所有涉及传染病领域协调与激励机制相关政策文件,量化其可行程度,运用Spearman相关、线性回归分析可行程度与传染病发病率之间的关系,判断传染病领域防治工作协调与激励机制的可行程度。结果2000~2017年上海市传染病协调与激励机制可行程度由15.29%上升至24.83%,陕西省则由11.90%上升至22.53%。相关与回归分析结果显示,沪陕协调与激励机制可行程度对传染病报告发病率的影响均呈显著负相关,上海市相关系数和决定系数分别为-0.83(P<0.01)和0.72(P<0.01),陕西省相关系数和决定系数分别为-0.67(P<0.01)和0.25(P<0.01)。结论沪陕两地协调与激励机制可行程度有所改善,上海市略优于陕西,但两地可行程度仍有提升空间。

Objective To understand the trends in the viability of coordination and incentive mechanisms, and analyze their correlation with the reported incidence of infectious diseases (referred to as infectious disease incidence). Methods All relevant policy documents related to coordination and incentive mechanisms in infectious diseases were collected,and the feasibility was quantified. Spearman correlation and linear regression analysis were used to analyze the relationship between feasibility and infectious disease incidence,and the feasibility of coordination and incentive mechanism in prevention and treatment of infectious diseases degree was judged. Results During 2000-2017, the feasibility of the coordination and incentive mechanism for infectious diseases in Shanghai increased from 15. 29% to 24. 83%, and that of Shaanxi increased from 11. 90% to 22. 53%. Correlation and regression analysis showed that the degree of feasibility of the coordination and incentive mechanism between Shanghai and Shaanxi was significantly negatively correlated with the reported incidence of infectious diseases. The correlation coefficient and coefficient of determination in Shanghai was -0. 83( P <0. 01) and 0. 72( P<0. 01) respectively,and the correlation coefficient and coefficient of determination in Shaanxi was -0. 67 (P<0. 01) and 0. 25( P<0. 01) respectively. Conclusion The degree of the feasibility of the coordination and incentive mechanism between Shanghai and Shaanxi have improved. Shanghai is slightly better than Shaanxi,but there is still room for improvement in the viability of the two places.