全球卫生安全相关评价指标工具结果分析

Comparative analysis on the results from different global health security-related evaluation tools

目的 分析和比较全球卫生安全相关指标评价体系的实际应用结果,为完善和整合全球卫生安全相关指标体系提供参考。方法 采用文献研究法和定量研究法,查阅文献资料和有关报告,并开展定量数据资料研究;对全球卫生安全相关评价工具结果进行标准化,并利用Microsoft Excel 2021和SPSS 25.0软件进行数据整理和分析,采用方差分析探索区域间差异,Bonferroni检验进行组间比较,Pearson线性分析探索相关性。结果 欧洲区评估结果较高,其全球卫生安全指数(global health security index,GHSI)、全民健康覆盖指数(universal health coverage index,UHCI)、区域安全评估指数(regional safety assessment index,RSAI)、全球治理指数(worldwide governance index,WGI)结果均为最高值;非洲区评估结果较差,其联合外部评估(joint external evaluation, JEE)、 GHSI、 UHCI、 RSAI、 WGI结果均为最低值;JEE与GHSI、UHCI、WGI及RSAI之间存在相关性(0.3≤|r|≤0.8);各工具最高分和最低分国家,JEE为新加坡92.1分,中非27.2分;GHSI为美国75.9分,索马里16.0分;UHCI为加拿大89.0分,索马里27.0分;RSAI为瑞士75.2分,马里、卢旺达、南苏丹30.0分;WGI为新西兰97.8分,叙利亚1.5分;政策遏制指数(policy containment and health index,PCI)为中国84.5分,塔吉克斯坦和坦桑尼亚14.9分;全球风险指数(global risk index,GRI)为斯洛伐克88.0分,塞尔维亚5.0分。结论 单一类型指标工具得出的评估结果可能无法完整反映和评价全球卫生安全状况,多种不同指标工具整合得出的综合结果更具预测性,未来有必要探索和比较不同指标工具的具体指标,以全面分析指标内容的应用价值。

Objective To analyze and compare the results from different indicator-based evaluation tools in global health security area,so as to provide reference for improving and integrating the existing global health security evaluation tools.Methods Adopting literature research and quantitative research method,consult literature and relevant reports,and carry out quantitative data research.The data from seven global health security-related evaluation tools were standardized then collated and analyzed with Microsoft Excel 2021 and SPSS 25.0 software.The research compare the differences between regions and groups by analysis of variance and Bonferroni test.The correlation between groups were analyzed by Pearson linear analysis.Results The results of global health related evaluation tools from European region are more satisfying than those from African region.European region takes the highest scoring of GHSI,UHCI,RSAI and WGI;and African region takes the lowest scoring of JEE,GHSI,UHCI,RSAI and WGI.There are related correlations among JEE,GHSI,UHCI,WGI and RSAI(0.3≤|r|≤0.8).About the country of these evaluation tools the highest and lowest scores,JEE evaluation results show that the highest score is 92.1 in Singapore and the lowest score is 27.2 in Central African Republic;The highest score of GHSI is 75.9 in the United States,and the lowest score is 16.0 in Somalia;The highest score of UHCI is 89.0 in Canada,and the lowest score is 27.0 in Somalia;The highest score of RSAI is 75.2 in Switzerland,and the lowest score is 30.0 in Mali,Rwanda and South Sudan;The highest score of WGI is 97.8 in New Zealand and the lowest score is 1.5 in Syria;The highest score of PCI is 84.5 in China,and the lowest score is 14.9 in Tajikistan and Tanzania;The highest score of GRI is 88.0 in Slovakia and the lowest score is 5.0 in Serbia.Conclusions None of those indicator tools separately are able to fully reflect and evaluate the level of global health security readiness.Integration of the comprehensive results obtained from various indicator tools might be more predictive for evaluating global health security readiness.Further studies will be necessary to explore the relativity and usefulness of specific indicators to make current indicator tools more predictive for assessing global health security level.