沪陕传染病防控体系计划与评价机制健全程度研究

Study on the plan and assessment mechanism of infectious disease prevention and control system,Shanghai city and Shaanxi province

目的综合比较沪陕两地传染病防控体系计划与评价机制健全程度,分析其与甲乙类法定报告传染病发病率(以下简称传染病发病率)的相关性。方法系统收集沪陕传染病领域有关计划与评价机制健全程度的政策与文献,运用Spearman相关和单因素线性回归分析其与传染病发病率之间的关系。结果 2000～2017年,沪陕两地计划与评价机制健全程度分别由31.07%、7.25%上升到58.95%、42.83%,沪陕两地传染病防控体系的计划与评价机制健全程度均呈上升趋势,其中上海优于陕西,并且均与甲乙类法定报告传染病发病率呈显著负相关(r=-0.85、-0.66,P<0.01),调整R^2=0.84、0.29)。结论沪陕两地的计划与评价机制已基本完备,但两地仍需在传染病防控工作中扩大关注问题范围,制定科学的考核评价指标。

Objective To comprehensively evaluate the impact of the completeness level of plan and assessment mechanism of Shanghai city and Shaanxi province on the work of infectious diseases prevention and control,and analyze the correlation between the completeness and the incidence of infections diseases of Class A and B.Methods The policies and literatures on the completeness level of plan and assessment mechanism in the field of infectious diseases in Shanghai city and Shaanxi province were systematically collected.Spearman correlation and linear regression methods were used to analyze the relationship between the completeness level of plan and assessment mechanism and the incidence of infectious diseases.Results During 2000-2017,the completeness level of plan and assessment mechanism between Shanghai and Shaanxi increased from 31.07%and 7.25%to 58.95%and 42.83%respectively,which showed an increase trend,while Shanghai was superior to Shaanxi,and the completeness in both Shanghai and Shaanxi was negatively correlated with the incidence of infectious diseases(r=-0.85,-0.66,P<0.01,adjusted R^2=0.84,0.29).Conclusion The completeness level of plan and assessment mechanism of both Shanghai and Shaanxi have been basically completed,but they still need to expand the scope of concerns in the prevention and formulate scientific assessment indicators.