浙沪两地传染病计划与评价机制健全程度分析

Analysis on healthiness degree of plan and evaluation mechanism for infectious disease of Zhejiang and Shanghai

为探索评价浙沪传染病计划与评价机制健全程度,并验证其量化方法的可行性,收集浙沪两地2000-2017年政府各部门公开发布的传染病防治的相关文件,从中提取并量化相关字段,综合形成量化指标“计划与评价机制健全程度”,对比两地传染病计划与评价机制健全程度的时序变化和异同,及其与甲、乙类传染病发病率之间的关系。结果发现,2000-2017年浙沪传染病计划与评价机制健全程度逐年增加,并与甲、乙类传染病发病率呈现显著负相关关系(P<0.01)。截至2017年底,浙沪两地传染病计划与评价机制得到初步完善,但两地机制仍存在评价指标覆盖程度较低和可落实性较弱的问题,通过提出相应的政策建议,以期进一步完善两地传染病计划与评价机制。

In order to explore the significance of healthiness degree of plan and evaluation mechanism and verify the feasibility of the quantitative methods,this study collected all of the relevant documents of infectious disease prevention and control published in Zhejiang and Shanghai from 2000 to 2017. From the documents,we extracted and quantified the relevant fields,and comprehensively formed the quantitative index“healthiness degree of plan and evaluation mechanism”,compared the time series changes and similarities of healthiness degree of plan and assessment mechanism of infectious disease system between Zhejiang and Shanghai,and analyzed the relationship between the incidence of Class A and B infectious disease. The results showed that the healthiness degree of plan and evaluation mechanism of infectious disease system between Zhejiang and Shanghai had improved gradually from 2000 to 2017. The trend of incidence of notifiable infectious diseases showed significant negative correlation to that of the coverage in these two places (P<0.01). By the end of 2017,the plan and evaluation mechanism for infectious diseases in Zhejiang and Shanghai has been initially improved. However,the two places still had problems of low coverage of evaluation indicators and weak implementation. By proposing corresponding policy recommendations,it is expected to further improve the plan and evaluation mechanism.