2004-2017年云桂甲乙类传染病领域计划与评价机制可落实程度分析

目的分析云南、广西两地主要部门(机构)甲乙类传染病计划与评价机制可落实情况及其差异的可信度,检验基于文献研究视角评价工作落实情况的可行性。方法收集1987-2017年所有涉及云南、广西两地主要部门(机构)对甲乙类传染病领域工作落实程度评价的政策文件,采用文献计量分析方法,从政策文件中分析主要部门对甲乙类传染病防控任务的关注度,以此对工作落实程度进行评价(0分表示文件集中没有相应指标,1分表示文件集中提到该指标)。运用Spearman相关性分析工作任务可落实程度与甲乙类传染病发病率间的关系。结果云南的甲乙类传染病发病率2004-2011年呈先上升后下降的趋势,2011年后基本呈缓慢上升趋势。云南省中长期目标及评价体系的可落实程度总体呈上升趋势;广西的甲乙类传染病发病率2004-2011年呈缓慢上升趋势,在2011年达到了发病率的最高值356.13/10万,2011年后总体呈下降趋势。其中长期目标及其评价体系的可落实程度总体呈上升趋势,2004-2011年上升幅度较为缓慢,2014年后大幅度上升。两地甲乙类传染病发病率与工作任务可落实程度之间呈现负相关(相关系数均大于0.5)。结论云桂两地支撑部门在传染病领域的职责明确程度有待加强;云南省在传染病领域评价指标对主要部门的覆盖程度低于广西,且云南省计划与评价机制可落实程度对健康结果的促进作用较广西地区更为明显;基于政策文件分析视角对传染病计划与评价机制可落实程度的量化是可行的。

Implementation of planning and evaluation mechanisms in the field of infectious diseases in Yunnan and Guangxi during 2004-2017

Objective To analyze the implementation of planning and evaluation mechanism for Class A and B infectious diseases in major departments(institutions) of Yunnan Province and Guangxi Province, and the reliability of differences between Yunnan and Guangxi, and to test the feasibility of evaluating the implementation of work from the perspective of literature review. Methods The policy documents on the evaluation of Class A and B infectious diseases control work in major departments(institutions) of Yunnan and Guangxi from 1987 to 2017 were collected. The focus of major departments(institutions) of Yunnan and Guangxi on the prevention and control of Class A and B infectious diseases was analyzed using bibliometric method and evaluation was conducted of the implementation degree of work(0 point means there is no corresponding indicator in the file set, 1 point means that the indicator is mentioned in the file set). Spearman correlation was used to analyze the relationship between the implementation of the work and morbidity. Results The incidence of Class A and B infectious diseases in Yunnan showed a trend of first rising and then falling from 2004 to 2011, and basically showed a slow rising trend after 2011. The degree of implementation of middle-and long-term goals and evaluation system was generally on the rise. The incidence of Class A and B infectious diseases in Guangxi increased slowly from 2004 to 2011, reaching a peak of 356.13/100,000 in 2011, and declined generally after 2011. The degree of implementation of the medium-and long-term goals and their evaluation system was generally on the rise, with a relatively slow increase during 2004-2011 and a substantial increase after 2014. There was a negative correlation between the incidence of Class A and B infectious diseases and the degree of implementation of work tasks(P>0.05). Conclusions The responsibilities of supporting departments in Yunnan and Guangxi in the field of infectious diseases need to be strengthened. The evaluation indexes of infectious diseases in Yunnan cover less major sectors than those in Guangxi, and the degree of implementation of planning and evaluation mechanism in Yunnan plays a more significant role in promoting health outcomes than that in Guangxi. It is feasible to quantify the degree of implementation of infectious disease planning and evaluation mechanism from the perspective of policy document analysis.