沪陕传染病防控体系协调与激励机制可行程度分析
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摘要
目的了解协调与激励机制可行程度的变化趋势,分析其与甲乙类传染病报告发病率(简称传染病发病率)的相关性。方法系统收集上海市和陕西省所有涉及传染病领域协调与激励机制相关政策文件,量化其可行程度,运用Spearman相关、线性回归分析可行程度与传染病发病率之间的关系,判断传染病领域防治工作协调与激励机制的可行程度。结果 2000～2017年上海市传染病协调与激励机制可行程度由15.29%上升至24.83%,陕西省则由11.90%上升至22.53%。相关与回归分析结果显示,沪陕协调与激励机制可行程度对传染病报告发病率的影响均呈显著负相关,上海市相关系数和决定系数分别为-0.83(P<0.01)和0.72(P<0.01),陕西省相关系数和决定系数分别为-0.67(P<0.01)和0.25(P<0.01)。结论沪陕两地协调与激励机制可行程度有所改善,上海市略优于陕西,但两地可行程度仍有提升空间。
Objective To understand the trends in the viability of coordination and incentive mechanisms,and analyze their correlation with the reported incidence of infectious diseases(referred to as infectious disease incidence). Methods All relevant policy documents related to coordination and incentive mechanisms in infectious diseases were collected,and the feasibility was quantified.Spearman correlation and linear regression analysis were used to analyze the relationship between feasibility and infectious disease incidence,and the feasibility of coordination and incentive mechanism in prevention and treatment of infectious diseases degree was judged. Results During 2000-2017,the feasibility of the coordination and incentive mechanism for infectious diseases in Shanghai increased from 15.29% to 24.83%,and that of Shaanxi increased from 11.90% to 22.53%.Correlation and regression analysis showed that the degree of feasibility of the coordination and incentive mechanism between Shanghai and Shaanxi was significantly negatively correlated with the reported incidence of infectious diseases.The correlation coefficient and coefficient of determination in Shanghai was-0.83(P<0.01) and 0.72(P<0.01) respectively,and the correlation coefficient and coefficient of determination in Shaanxi was-0.67(P<0.01) and 0.25(P<0.01) respectively. Conclusion The degree of the feasibility of the coordination and incentive mechanism between Shanghai and Shaanxi have improved.Shanghai is slightly better than Shaanxi,but there is still room for improvement in the viability of the two places.
Objective To understand the trends in the viability of coordination and incentive mechanisms,and analyze their correlation with the reported incidence of infectious diseases(referred to as infectious disease incidence). Methods All relevant policy documents related to coordination and incentive mechanisms in infectious diseases were collected,and the feasibility was quantified.Spearman correlation and linear regression analysis were used to analyze the relationship between feasibility and infectious disease incidence,and the feasibility of coordination and incentive mechanism in prevention and treatment of infectious diseases degree was judged. Results During 2000-2017,the feasibility of the coordination and incentive mechanism for infectious diseases in Shanghai increased from 15.29% to 24.83%,and that of Shaanxi increased from 11.90% to 22.53%.Correlation and regression analysis showed that the degree of feasibility of the coordination and incentive mechanism between Shanghai and Shaanxi was significantly negatively correlated with the reported incidence of infectious diseases.The correlation coefficient and coefficient of determination in Shanghai was-0.83(P<0.01) and 0.72(P<0.01) respectively,and the correlation coefficient and coefficient of determination in Shaanxi was-0.67(P<0.01) and 0.25(P<0.01) respectively. Conclusion The degree of the feasibility of the coordination and incentive mechanism between Shanghai and Shaanxi have improved.Shanghai is slightly better than Shaanxi,but there is still room for improvement in the viability of the two places.
引文
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[3] 赖静萍,刘晖.制度化与有效性的平衡——领导小组与政府部门协调机制研究[J].中国行政管理,2011(8):22-26.
[4] Rusa L,Schneidman M,Fritsche G,et al.Rwanda:Performance-based financing in the public sector[J].2009:189-214.
[5] 周仁俊,喻天舒,杨战兵.公司治理激励机制与业绩评价[J].会计研究,2005(11):26-31,96.
[6] 许祖华,徐力青,王英.建立政府应对突发公共卫生事件协调机制探讨[J].上海预防医学,2003,15(9):419-421.
[7] 战亚玲,曹志辉.基层卫生机构公卫人员的行为模型与激励机制研究[J].管理观察,2016(12):28-29.
[8] 梁鸿,李娟,仇育彬,等.上海市长宁区健康城区建设推进机制实践探索[J].中国初级卫生保健,2009,23(5):6-9.
[9] 上海市卫生和计划生育委员会.上海卫生计生数据[EB/OL].[2018/12/04].http://www.wsjsw.gov.cn/wsj/n429/n432/n1488/n1490/index.html.
[10] 陕西省统计局.陕西统计年鉴[EB/OL].[2018/12/04].http://www.shaanxitj.gov.cn/site/1/html/126/127/233/list.htm.
[11] 沈荣华.明确各级政府在实现基本公共服务均等化中的职责[J].中国机构改革与管理,2013(6):35.
[12] 张洁.卫生事业单位人事管理中的激励方法探讨[J].经济师,2016(3):222-223.
[13] 张开诚.医院激励机制的作用和途径[J.中国卫生事业管理,2001,17(9):565-566.
[14] 秦江梅,林春梅,张幸,陈英,周杨,杨晓倩.我国公共卫生机构卫生防疫津贴的调查与思考[J].卫生经济研究,2016(10):3-7.
[15] 陕西省政府办公厅.陕西省省人民政府关于印发防治传染性非典型肺炎工作预案的通知[EB/OL].[2003-09-15].www.shaanxi.gov.cn/gk/zfwj/47597.htm.
[16] 陕西省疾病预防控制中心.陕西省流行性乙型脑炎监测方案[EB/OL].[2007-11-20].http://www.sxcdc.com/newstyle/pub_newsshow.asp?id=29004951&chid=100214.
[17] 陶莹,李程跃,于明珠,等.公共卫生体系要素的确认与研究[J].中国卫生资源,2018,21(3):207-213.
[18] 郝模.卫生政策学[M].第2版.北京:人民卫生出版社,2013:30-33.
[19] 郝模,吴延风.与社会协调解决问题:卫生事业可持续发展的基石[J].中华医院管理杂志,1998,14(1):2-5.
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