浙沪两地传染病协调与激励机制健全程度分析

The soundness of the coordination and incentive mechanism of infectious diseases in Zhejiang and Shanghai

目的通过对比浙沪两地传染病协调与激励机制健全程度的时序变化和异同,探索评价传染病协调与激励机制健全程度的重要意义,并验证其量化方法的可行性。方法穷尽收集浙沪2000-2017年间公开发布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"协调与激励机制健全程度",并运用Spearman相关和线性回归等方法,分析传染病协调与激励机制健全程度与甲乙类传染病发病率之间的关系。结果2000-2017年浙沪传染病协调与激励机制健全程度逐年增加(2017年浙24.78%vs沪61.13%),并与甲乙类传染病发病率呈现显著负相关关系(P<0.01)。结论浙江省传染病协调与激励机制健全程度劣于上海市,且急需完善;浙沪传染病协调与激励机制健全程度对健康结果的影响存在差异;浙沪传染病协调与激励机制健全程度具备可量化性。

Objective To compare the time series changes and similarities and differences between the coordination degree of infectious diseases and the mechanism of infectious diseases in Zhejiang and Shanghai,exploring the importance of evaluating the soundness of infectious disease coordination and incentive mechanism,verifying the feasibility of its quantitative method.Methods Exhausting the relevant documents on the prevention and control of infectious diseases in Zhejiang and Shanghai from 2000 to 2017,extracting and quantifying relevant fields,comprehensively forming quantitative indicators"the soundness of coordination and incentive mechanism",and applying the macro model of health system,Spearman related,Linear regression and other methods,the relationship between the results of the analysis and the incidence of Class A and B infectious diseases.Results The soundness of the coordination and incentive mechanism of infectious diseases in Zhejiang and Shanghai increased from 2000 to 2017(24.78%in Zhejiang and 61.13%in Shanghai in 2017),and showed a significant negative correlation with the incidence of Class A and B infectious diseases(P<0.01).Conclusion The coordination and incentive mechanism of infectious diseases in Zhejiang is significantly different from Shanghai,and it needs to be improved;The degree of coordination and incentive mechanism of infectious diseases in Zhejiang and Shanghai has different effects on health outcomes;The degree of coordination and incentive mechanism of infectious diseases in Zhejiang and Shanghai is quantifiable.