摘要
目的 分析新冠疫情前后中国内地31个省(自治区、直辖市)重大疫情防控激励机制覆盖范围的变化情况,评价激励机制的现状和不足.方法 系统搜集中国内地31个省(自治区、直辖市)2000-2020年重大疫情防控相关文件3 864篇,摘录激励机制有关字段,计算正、负两种类型激励机制的覆盖程度及包括业务主管部门、专业公共卫生机构、医疗机构以及基层卫生服务机构在内不同类型机构激励机制的覆盖程度,得到各地区的激励机制覆盖范围.采用配对秩和检验分析东、中、西部地区及中国内地31个省(自治区、直辖市)平均水平新冠疫情前后激励机制覆盖范围的变化情况.结果 中国内地31个省(自治区、直辖市)平均负激励机制覆盖程度从2020年前的74.19％上升到2020年的76.34％,提升幅度为2.90％(P＜0.05).正激励机制覆盖程度从2020年前的0上升到2020年的22.85％(P＜0.001).业务主管部门、专业公共卫生机构、医疗机构以及基层卫生服务机构的平均水平覆盖程度均有一定提升,提升幅度分别为11.83％、30.77％、42.11％及89.66％,且新冠疫情前后的差异均具有统计学意义.从激励机制覆盖范围看,2019-2020年平均覆盖范围从37.10％上升至49.60％,提升幅度达33.70％(P＜0.05).东部地区覆盖范围提升幅度为47.47％,中部地区覆盖范围提升幅度为27.54％,西部地区提升幅度为25.00％,差异均有统计学意义.结论 新冠疫情后中国内地31省(自治区、直辖市)激励机制覆盖范围明显提升,正激励实现从无到有的跨越.
Abstract
Objective To analyze changes in the coverage of incentive measures for promoting major epidemic prevention and control in documents published by governmental and professional departments in the Chinese Mainland before and after coronavirus disease 2019(COVID-19)epidemic of 2020.Methods Through systematically searching websites of government departments and professional institutions in 31 provincial-level administrative divisions(PLADs)of the mainland of China,we retrieved totally 3 864 documents(including laws,regulations,standards,rules,proposals,plans,and guidelines)relevant to major epidemic prevention and control published from 2000 through 2020.The paragraphs related to incentive and disciplinary measures for promoting the containment of major epidemic were extracted to calculate region-and institution-specific coverage of the measures in the retrieved documents.Wilcoxon paired rank sum test was adopted to evaluate differences in the coverage of the established measures before and after COVID-19 epidemic of 2020 among various economic regions and administrative/professional institutions.Results The average coverage of disciplinary measures for the retrieved documents increased from 74.19％before 2020 to 76.34％in 2020,with a significant increase of 2.90％(P＜0.05);while,the average coverage incentive measures was 22.85％for the documents published in 2020,significantly increased in comparison with no incentive measure presented in all the documents published before 2020(P＜0.001).Compared to those before 2020,the national average combined coverage of incentive and disciplinary measures increased significantly by 11.83％,30.77％,42.11％,and 89.66％in 2020,for the documents published by administrative departments,public health institutions,health care institutions,and primary health care institutions,respectively;the national average coverage increased from 37.10％before 2020 to 49.60％in 2020 for the documents published by all the institutions,with an increment of 33.70％;and for the documents published by all the institutions in the PLADs of eastern,central and western region,the coverage increased significantly by 47.47％,27.54％and 25.00％(all P＜0.05).Conclusion After COVID-19 epidemic of 2020,the coverage of incentive and disciplinary measures for promoting major epidemic prevention and control increased significantly in the documents published by governmental and professional departments in the mainland of China and the increase was much higher for the coverage of incentive measures.
基金项目
上海市加强公共卫生体系建设三年行动计划(2020-2022)(GWV-12)
NETL
NSTL
万方数据