摘要
[目的]比较鲁豫两地政府在慢性病预防与控制工作中目标设置水平的差异,分析原因并论证其意义。[方法]收集鲁豫两地慢性病预防与控制相关政策文件、法律规制等,根据文件中定量目标设置情况、敏感指标纳入情况综合量化目标设置水平。运用t检验、Spearman相关方法分析两地目标设置水平的差异。[结果]截至2017年,河南省共设置10个慢性病病种的公开目标,目标与公众需要匹配程度为42.2%;山东省共设置9个慢性病病种的公开目标,目标与公众需要匹配程度为50.1%。比较而言,2000-2017年,山东省目标与公众需要匹配程度较高(tα/2,0.05=5.247,P<0.01)。[结论]2000-2017年,鲁豫两地慢性病预防与控制领域目标设置水平均有所提高,但病种范围有待扩大,针对一级预防和二级预防的目标设置有待加强,慢性病防控监测评估体系有待建立健全。“目标与公众需要匹配程度”指标具有可考核性、敏感性、可操作性,因此具备量化可行性。
Objective To compare the difference between Shandong and Henan governments in level of goal setting in chronic diseases prevention and control,analyze reasons and demonstrate its significance.Methods It collected relevant policy documents and legal regulations on prevention and control of chronic diseases in Shandong and Henan.The goals setting level was calculated according to the quantitative goals setting and sensitive indicator setting.The t test and spearman correlation methods were used to analyze the difference in the goal setting levels between the two regions.Results By 2017,Henan Province had set a total of 10 public goals for chronic diseases,with 42.2%matching the public needs.Shandong Province had set 9 public goals,with 50.1%matching the public needs.Comparatively,from 2000 to 2017,Shandong Province had higher degree of matching between goals and public needs(tα/2,0.05=5.247,P<0.01).Conclusions From 2000 to 2017,the level of goal setting in the field of prevention and control of chronic diseases in Shandong and Henan has been improved,but the scope of diseases needs to be expanded,the goal setting of primary and secondary prevention needs to be strengthened,and the monitoring and evaluation system of chronic disease prevention and control needs to be established and improved.The index of“matching degree between goal and public needs”is assessable,sensitive and operable,so it is feasible to quantify.
作者
孙煜
郝模
李程跃
冯占春
李伯阳
SUN Yu;HAO Mo;LI Cheng-yue;FENG Zhan-chun;Li Bo-yang(School of Medicine and Health Management,Tongji Medical College,Huazhong University of Science and Technology,Wuhan Hubei 430030,China;Collaborative Innovation Center of Social Risks Governance in Health,Fudan University,Shanghai 200032,China;Research Institute of Health Development Strategies,Fudan University,Shanghai 200032,China)
出处
《卫生软科学》
2020年第12期28-32,共5页
Soft Science of Health
基金
国家自然科学基金青年项目(71804053)
上海市加强公共卫生体系建设三年行动计划(2015年-2017年)项目(GWIV-32)
教育部哲学人文社会科学研究项目(13YJC630070)。
关键词
慢性病
预防与控制
目标设置
公众需要
河南
山东
chronic diseases
prevention and control
goal setting
public need
Henan
Shandong
