我国传染病监测系统有效利用程度分析

Effective utilization of infectious disease surveillance system in China:a literature study-based analysis

目的 比较我国传染病监测系统有效利用的现状与发展趋势,分析其对于传染病防制工作的支撑程度,探讨区域差异。方法 收集2004—2019年我国31省(直辖市、自治区)运用监测系统发布的传染病风险监测预警相关文献和报告,计算传染病监测系统的有效利用程度,使用Spearman相关、线性回归等方法探索监测系统有效利用程度与发病率之间的关系。结果 2019年我国平均传染病监测系统有效利用程度为9.64%,较2004年提升1 338.81%;东部地区传染病监测系统有效利用的能力较强,为11.73%。由相关、回归分析可知,我国传染病监测系统有效利用程度与发病率之间呈负相关关系,相关系数为-0.88(P <0.01),标化回归系数为-6.87(P <0.001)。结论 2004年—2019年,我国传染病监测系统有效利用程度稳步提升,但区域差异尚存。提升传染病监测系统的有效利用使其发挥疾病预防控制的支柱作用仍然任重而道远。

Objective To analyze current situation,development trend and regional disparity about effective utilization of infectious disease surveillance system and the effect of the utilization on infectious disease prevention and control in China.Methods Relevant literatures and reports on infectious disease risk monitoring and early warning issued during 2004 – 2019by infectious disease surveillance system in 31 provincial-level administrative divisions in China were systemically retrieved through searching websites of governmental agencies,professional organizations,China National Knowledge Infrastructure and Web of Science.The data on infectious disease incidence were extracted from China Health Statistics Yearbook for years from 2005 to 2020.The information collected were quantitatively analyzed to assess effective utilization of the infectious disease monitoring system.Spearman correlation and linear regression were adopted to explore the association of effective utilization of surveillance systems and infectious disease morbidity.Results The average index for countrywide effective utilization of infectious disease surveillance system was 9.64% in 2019,with an increment of 1 338.81% compared with that in 2004;the average index for eastern region was relatively higher(11.73%) than that for other regions of China.Correlation and regression analysis showed that there was a reverse correlation between the effective utilization of infectious disease surveillance system and the incidence of infectious diseases at regional and national level,with the nationwide correlation coefficient of-0.88(P < 0.01) and standardized regression coefficient of-6.87(P < 0.001).Conclusion The utilization of infectious disease surveillance system has been improved steadily during 2004 – 2019 in China,but regional difference for the utilization still exists and continuous efforts should be made for effective utilization of the surveillance system.