沪蒙传染病防治财力投入总量适宜程度研究
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摘要
目的分析沪蒙两地传染病防治财力投入总量的适宜程度及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。方法收集1995～2017年所有涉及沪蒙传染病领域财力资源问题的文献,摘录财力投入总量不足问题的相关描述,计算严重程度评分,并换算为财力投入总量适宜程度。运用Spearman相关、线性回归分析两地传染病防治财力投入总量适宜程度与传染病发病率的关系。结果从2000年到2017年,上海市传染病防治财力投入总量适宜程度由20.00%上升到66.00%,内蒙古适宜程度由40.00%上升到45.00%;上海市传染病发病率从2000年的271.66/10万下降到2017年的161.31/10万,同期,内蒙古传染病发病率从198.86/10万上升到267.35/10万。上海市和内蒙古的相关分析结果均显示财力投入总量适宜程度与传染病发病率存在显著负相关,上海市相关系数为-0.80(P<0.01),内蒙古相关系数为-0.71(P<0.01)。结论上海市传染病防治财力投入总量适宜程度逐渐优于内蒙古,两地传染病防治财力投入总量适宜程度均对传染病发病率有显著影响,财力投入总量越适宜,传染病发病率越低。
Objective To analyze the appropriateness of financial quantity of infectious disease prevention and treatment and its correlation with infectious diseases incidence in Shanghai and Inner Mongolia. Methods The research papers on infectious diseases financial resource of Shanghai and Inner Mongolia during 1995-2017 were collected,the relevant expression of insufficient financial quantity was excerpt and the severity score was calculated,then it was converted into the appropriateness of financial quantity.Spearman correlation and linear regression analysis were used to analyze the relationship between the appropriateness of financial quantity and infectious diseases incidence. Results From 2000 to 2017,the appropriateness of financial quantity of infectious disease prevention and treatment in Shanghai increased from 20.00% to 66.00%,and in Inner Mongolia increased from 40.00% to 45.00%.The incidence of infectious diseases in Shanghai dropped from 271.66/10~5 in 2000 to 161.31/10~5 in 2017,during the same period,it in Inner Mongolia rose from 198.86/10~5 to 267.35/10~5.The correlation analysis of Shanghai and Inner Mongolia both showed that there was a significant negative correlation between the appropriateness of financial quantity and the incidence of infectious diseases,the correlation coefficient was-0.80 in Shanghai(P<0.01),and-0.71 in Inner Mongolia(P<0.01). Conclusion The appropriateness of financial quantity of infectious disease prevention and treatment in Shanghai is gradually better than Inner Mongolia,and the appropriateness of financial quantity of infectious disease prevention and treatment of Shanghai and Inner Mongolia both have significant impacts on infectious diseases incidence,the more appropriate of financial quantity,the lower infectious diseases incidence.
Objective To analyze the appropriateness of financial quantity of infectious disease prevention and treatment and its correlation with infectious diseases incidence in Shanghai and Inner Mongolia. Methods The research papers on infectious diseases financial resource of Shanghai and Inner Mongolia during 1995-2017 were collected,the relevant expression of insufficient financial quantity was excerpt and the severity score was calculated,then it was converted into the appropriateness of financial quantity.Spearman correlation and linear regression analysis were used to analyze the relationship between the appropriateness of financial quantity and infectious diseases incidence. Results From 2000 to 2017,the appropriateness of financial quantity of infectious disease prevention and treatment in Shanghai increased from 20.00% to 66.00%,and in Inner Mongolia increased from 40.00% to 45.00%.The incidence of infectious diseases in Shanghai dropped from 271.66/10~5 in 2000 to 161.31/10~5 in 2017,during the same period,it in Inner Mongolia rose from 198.86/10~5 to 267.35/10~5.The correlation analysis of Shanghai and Inner Mongolia both showed that there was a significant negative correlation between the appropriateness of financial quantity and the incidence of infectious diseases,the correlation coefficient was-0.80 in Shanghai(P<0.01),and-0.71 in Inner Mongolia(P<0.01). Conclusion The appropriateness of financial quantity of infectious disease prevention and treatment in Shanghai is gradually better than Inner Mongolia,and the appropriateness of financial quantity of infectious disease prevention and treatment of Shanghai and Inner Mongolia both have significant impacts on infectious diseases incidence,the more appropriate of financial quantity,the lower infectious diseases incidence.
引文
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[2] 李俊平,马春微.传染病防治体系存在问题及对策研究[J].世界最新医学信息文摘,2017,17(35):36,44.
[3] 吴锋耀,董文逸.传染病医院的发展现状与对策[J].中国医院,2013,17(3):26-27.
[4] 张泉娣.浅析传染病医院的补偿机制[J].财经界(学术版),2014(24):275,277.
[5] 汪顺庆,于润吉.传染病院面临的困难和解决对策[J].中国卫生资源,2009,12(5):233.
[6] 杨谢菲.扬州市传染病医院现状与发展对策[J].江苏卫生事业管理,2010,21(1):97-98.
[7] 上海市加强公共卫生体系建设三年行动计划课题组.《上海现代化国际大都市公共卫生绩效体系构建》结题报告[R].2018.
[8] 上海市卫生和计划生育委员会.上海市卫生计生数据[EB/OL].[2018-12-05].http://www.wsjsw.gov.cn/wsj/n429/n432/n1488/n1490/index.html.
[9] 中国经济社会大数据研究平台.中国卫生和计划生育统计年鉴[EB/OL].[2018-12-05].http://data.cnki.net/Yearbook/Single/%20N2017120225.
[10] 郝模,李程跃,于明珠,等.新时代公共卫生体系的思考与研究[J].上海预防医学,2017,29(12):905-906,910,907-909.
[11] Avi Yacar Ellencweig.Analyzing Health Systems:a modular approach[M].London:Oxford University Press,1992.
[12] 郝模,马安宁,王志锋,等.卫生政策学[M].第2版.北京:人民卫生出版社,2013.
[13] 邢晓辉,李从东.公立医院回归公益性的财政补偿机制的探讨[J].中国医院管理,2010,30(11):1-2.
[14] 张磊.我国公共卫生服务的财政资金投入问题研究[D].华东师范大学,2006.
[15] 常凤姣.内蒙古察右中旗农牧区居民卫生服务利用公平性研究[D].黑龙江中医药大学,2017.
[16] 陈云,范艳存,张楠,等.2009～2011年内蒙古自治区基层医疗卫生服务体系建设情况评估[J].医学与社会,2013,26(12):54-57.
[17] 傅海虹,范艳存,张楠,等.内蒙古自治区公共卫生现状及对策研究[J].内蒙古医学院学报,2011,33(6):646-650.