重庆市慢性病防控资源配置适宜程度研究
Appropriateness of Resource Allocation of Chronic Diseases Prevention and Control in Chongqing
李筱纯 1郝模 2李程跃 2蒲川3
作者信息
- 1. 400016 重庆市,重庆医科大学公共卫生学院 医学与社会发展研究中心
- 2. 200032 上海市,复旦大学卫生发展战略研究中心;200032 上海市,复旦大学健康相关重大社会风险预警协同创新中心
- 3. 400016 重庆市,重庆医科大学公共卫生学院 医学与社会发展研究中心;200032 上海市,复旦大学健康相关重大社会风险预警协同创新中心
- 折叠
摘要
背景 目前,慢性非传染性疾病(以下简称慢性病)成为影响我国人民群众健康的主要疾病.对慢性病防控资源配置的研究多为现况调查或公平性分析,且缺乏代表性强的结果评价指标.目的 分析重庆市慢性病防控资源配置适宜程度的变化情况,探讨其对慢性病防控效果的影响.方法 按照"穷尽"原则,系统收集政府、卫生健康委及相关部门网站、中国知网(CNKI)、Web of Science等公开数据库发布的重庆市 2010-2021 年慢性病领域所有文献资料,对文献进行摘录,对慢性病资源配置适宜程度进行量化分析.运用课题组前期构建的适宜公共健康体系定量标准,在系统收集信息资料后,分别从慢性病防控资源配置适宜程度的 4 个二级指标及 13 个三级指标展开研究,根据文献中资源配置的相关表述,采用"五分度评分"法半定量对其进行严重性评分,再对评分结果进行公式计算,最终得出资源配置的适宜程度.运用相关分析、线性回归分析资源配置适宜程度对慢性病防控效果的影响.结果 2010-2021 年重庆市慢性病防控资源配置适宜程度不断上升,由 6.64%上升到 27.57%;人力资源配置适宜程度从 36.49%上升到 46.59%,财力资源配置适宜程度从 41.06%上升到 50.28%,物力资源配置适宜程度从 41.40%上升至 42.96%,信息资源配置适宜程度从 5.73%上升到 24.09%.其中财力、物力资源配置适宜程度与重庆市慢性病过早死亡率呈显著负相关,相关系数分别为-0.722、-0.586.结论 重庆市慢性病防控资源配置适宜程度逐年提高,但总体处于较低水平,信息资源配置程度较低是制约其发展的主要原因;应加快提升资源配置适宜水平来应对慢性病发病人数的迅速上升.
Abstract
Background At present,chronic non-communicable diseases have become the major diseases affecting people's health in China.Most of the studies on resource allocation for chronic disease prevention and control are status quo surveys or equity analyses,and there is a lack of representative indicators for evaluating the results.Objective To analyze the changes of the appropriateness of resource allocation for chronic disease prevention and control in Chongqing,and to explore its impact on the effectiveness of chronic disease prevention and control.Methods In accordance with the principle of"exhaustiveness",this study systematically collected all the literature in the field of chronic diseases in Chongqing from 2010 to 2021 published on the websites of the government,the Health and Planning Commission and its related departments,as well as on open databases such as the CNKI and the Web of Science,and a quantitative analysis was made on the appropriateness of resource allocation for the prevention and control of chronic diseases.After the systematic collection of information,this study was respectively carried out from the four secondary indicators and thirteen tertiary indicators of the appropriateness of resource allocation for chronic disease prevention and control,which was derived from the quantitative standards previously constructed by the research group.The"five-point scale"method was used to semi-quantitatively score the severity of the problem(0 points indicate that there is no problem,5 points indicate that the problem is very serious)and the scores were further calculated to determine the appropriateness of resource allocation.Correlation analysis and linear regression were used to analyze the influence of the appropriateness of resource allocation on the prevention and control of chronic diseases.Results From 2010 to 2021,the appropriateness of resource allocation for chronic disease prevention and control in Chongqing has increased from 6.64%to 27.57%;the appropriateness of human resource allocation has increased from 36.49%to 46.59%,the appropriateness of financial resource allocation has increased from 41.06%to 50.28%,the appropriateness of material resource allocation has increased from 41.40%to 42.96%,and the appropriateness of information resource allocation has increased from 5.73%to 24.09%.Among them,the appropriateness of financial and material resource allocation is significantly negatively correlated with the premature mortality rate of chronic diseases in Chongqing,with correlation coefficients of-0.722 and-0.586,respectively.Conclusion The appropriateness of resources allocation for the prevention and control of chronic diseases in Chongqing has been increasing year by year,but it is still at a lower level in general,and the main reason restricting its development lies in the relatively low information resources allocation;it is important to expedite the enhancement of the appropriateness of resources allocation to cope with the rapid increase of the number of chronic disease cases.
关键词
慢性病/防控/资源配置/适宜程度/重庆市Key words
Chronic disease/Prevention and control/Resource allocation/Appropriateness/Chongqing引用本文复制引用
基金项目
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上海市加强公共卫生体系建设三年行动计划(2020-2022)(GWV-12)
出版年
2024
国家科技期刊平台
NSTL
万方数据