湘鄂两省慢性病功能服务与公众需要匹配程度研究  

The matching degree between the functional services of chronic diseases and public needs in Hunan and Hubei Provinces

作　　者：董忆晗 陈任[2,7] 陈菲 于芳 李程跃[5,7] 李伯阳 DONG Yihan;CHEN Ren;CHEN Fei;YU Fang;LI Chengyue;LI Boyang(School of Medicine and Health Management,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,Hubei 430030,China;School of Health Management,Anhui Medical University,Hefei,Anhui 230032,China;School of Public Health and Management,Chongqing Medical University,Chongqing400016,China;School of Public Health and Management,Weifang Medical University,Weifang,Shandong 261053,China;Research Institute of Health Development Strategies,Fudan University,Shanghai 200032,China;School of Political Science and Public Administration,Wuhan University,Wuhan,Hubei 430064,China;Collaborative Innovation Center of Social Risks Governance in Health,Fudan University,Shanghai 200032,China)

机构地区：[1]华中科技大学同济医学院医药卫生管理学院,湖北武汉430030 [2]安徽医科大学卫生管理学院,安徽合肥230032 [3]健康相关重大社会风险预警协同创新中心,上海200032 [4]重庆医科大学公共卫生与管理学院,重庆400016 [5]潍坊医学院公共卫生与管理学院,山东潍坊261053 [6]复旦大学卫生发展战略研究中心,上海200032 [7]武汉大学政治与公共管理学院,湖北武汉430064

出　　处：《中国农村卫生事业管理》2023年第3期210-214,228,共6页Chinese Rural Health Service Administration

基　　金：教育部哲学人文社会科学研究项目(13YJC630070);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项目(GWIV-32);健康相关重大社会风险预警协同创新中心科研基金。

摘　　要：目的 分析湘鄂两省2000-2019年慢性病功能服务与公众需要的匹配程度和慢性病防治效果指标的适宜程度及其之间的关系。方法 系统收集湘鄂两省与慢性病功能服务及慢性病防治效果相关的政策文件及研究文献,量化评价功能服务与公众需要的匹配程度和慢性病防治效果指标的适宜程度,运用Spearman秩相关系数法分析和线性回归分析,研究二者之间的相关性。结果 湖南省慢性病功能服务与公众需要匹配程度从2006年的0.00%上升至2019年的34.93%,湖北省从2005年的0.00%上升至2019年的15.49%。世界卫生组织强调的慢性病匹配程度高于其他类型慢性病,三级预防功能服务匹配程度高于一级和二级预防。湖南(r=0.729,P<0.01)、湖北(r=0.642,P<0.01)两省慢性病功能服务与公众需要匹配程度与慢性病防治效果指标适宜程度均呈现正相关关系,解释程度分别为37.0%和42.0%。结论 两省慢性病功能服务与公众需要匹配程度逐年上升,湖南省优于湖北省。功能服务与公众需要匹配程度对慢性病防治效果有显著促进作用。建议纳入更多类型慢性病和完善慢性病“三级预防”服务。Objective To analyze the matching degree between chronic disease functional services and public needs and the suitability of effect indicators for chronic disease prevention and treatment and their relationship in Hunan and Hubei provinces from 2000 to 2019. Methods Policy documents and research literature related to the functional services and the effects of chronic disease prevention and treatment in Hunan and Hubei provinces were systematically collected. The matching degree of functional services and public needs and the suitability of effect indicators for chronic disease prevention and treatment were quantitatively evaluated, and Spearman’srank correlation coefficient analysis and linear regression analysis were used to study the correlation between the two. Results The matching degree of chronic disease functional services and public needs increased from 0.00% in 2006 to 34.93% in 2019 in Hunan Province, and from 0.00% in 2005 to 15.49% in 2019 in Hubei Province. The matching degree of chronic diseases emphasized by the World Health Organization was higher than that of other types of chronic diseases, and the matching degree of tertiary prevention functional services was higher than that of primary and secondary prevention. In Hunan(r=0.729, P<0.01) and Hubei(r=0.642, P<0.01) Provinces, there was a significant positive correlation between the matching degree of chronic disease functional services and public needs and the suitability degree of effect indicators for chronic disease prevention and treatment, and the explanatory degrees were 37.0% and 42.0%, respectively.Conclusions The matching degree of chronic disease functional services and public needs in the two provinces increases year by year, with Hunan Province better than Hubei Province. The matching degree of functional services and public needs has a significant promoting effect on the prevention and treatment of chronic diseases. It is recommended toincludemore types of chronic diseases and improve “tertiary prevention” services for chronic

关 键 词：慢性病 功能服务 公众需要 匹配程度 防治效果 三级预防 

分 类 号：R197.2[医药卫生—卫生事业管理]