首页|川渝慢性病防控工作目标设置的科学合理程度比较分析

川渝慢性病防控工作目标设置的科学合理程度比较分析

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[目的]分析四川省和重庆市慢性病防控领域目标设置的科学合理程度变化情况,比较两地差异,探索目标设置的科学合理程度对慢性病防控效果的影响.[方法]收集川渝两地 2010-2022 年慢性病领域的相关法律法规和政策文件等,量化评价川渝两地慢性病防控工作目标设置的科学合理程度,运用Spearman相关、线性回归分析目标设置的科学合理程度对主要慢性病防控效果的影响.[结果]2010-2022 年四川省、重庆市慢性病防控目标设置的科学合理程度整体呈上升趋势,分别从 2010 年的 4.04%和 2.90%增长到 2022 年的32.96%和 30.77%;两地的主要慢性病防控目标设置的科学合理程度与主要慢性病的过早死亡率均呈负相关关系(四川:r=-0.982,P<0.001;重庆:r=-0.843,P<0.001),对慢性病过早死亡率变化的解释程度分别为89.7%和 72.1%(P<0.001).[结论]川渝两地慢性病防控领域目标设置的科学合理程度逐年提高,同时有助于提高对慢性病的防控效果.四川省慢性病目标设置的科学合理程度略高于重庆市,两地水平均有较大提升空间.
Comparative analysis of the scientific and reasonable degree of the goal setting of chronic disease prevention and control in Sichuan and Chongqing
Objective To analyze changes of scientific and reasonable degree of the goal setting of chronic disease prevention and control in Sichuan and Chongqing,compare the differences between the two places,and explore the impact of the scientific and reasonable degree of goal setting on the effectiveness of chronic disease prevention and control.Methods The relevant laws,regulations and policy documents in the field of chronic diseases in Sichuan and Chongqing from 2010 to 2022 were collected to quantitatively evaluate the scientific and reasonable degree of goal setting of chronic disease prevention and control in Sichuan and Chongqing.Spearman correlation and linear regression were used to analyze the effect of scientific and rational degree of the goal setting on the effectiveness of main chronic disease prevention and control.Results From 2010 to 2022,the scientific and reasonable degree of goal setting of chronic disease prevention and control in Sichuan and Chongqing showed an overall upward trend,increasing from 4.04%and 2.90%in 2010 to 32.96%and 30.77%in 2022,respectively.There was a negative correlation between the scientific and rational degree of goal setting of the major chronic disease prevention and control and the premature mortality rates of major chronic diseases in both places(Sichuan:r=-0.982,P<0.001;Chongqing:r=-0.843,P<0.001).The degrees of explanation for the changes of premature mortality rates of chronic diseases were 89.7%and 72.1%(P<0.001).Conclusions The scientific and reasonable level of goal setting in the field of chronic disease prevention and control in Sichuan and Chongqing has been improved year by year,and it is helpful to improve the prevention and control effect of chronic diseases.The scientific and reasonable degree of goal setting of chronic diseases in Sichuan is slightly higher than that in Chongqing,and both places have considerable room for improvement.

chronic diseasesprevention and controlgoal settingthe scientific and reasonable degreeSichuanChongqing

张真熙、郝模、李程跃、周庆誉、蒲川

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重庆医科大学公共卫生学院医学与社会发展研究中心,重庆 400016

复旦大学卫生发展战略研究中心,上海 200032

健康相关重大社会风险预警协同创新中心,上海 200032

慢性病 防控 目标设置 科学合理程度 四川 重庆

2025

10.3969/j.issn.1003-2800.2025.01.002

卫生软科学
中国卫生经济学会,云南省卫生厅

卫生软科学

影响因子：0.655
ISSN：1003-2800
年,卷(期)：2025.39(1)