新发重大传染病背景下基于疫情防控视角的社会损失指标体系构建  

Construction of a social loss indicator system based on the perspective of epidemic prevention and control against the background of emerging major infectious diseases

作　　者：程少华 黄国英 袁小群[2] Cheng Shaohua;Huang Guoying;Yuan Xiaoqun(Quality and Safety Management Office,Renmin Hospital of Wuhan University,Wuhan 430060,China;School of Information Management,Wuhan University,Key Laboratory of Semantic Publishing and Knowledge Services,State Press and Publication Administration,Wuhan 430072,China)

机构地区：[1]武汉大学人民医院质量与安全管理办公室,武汉430060 [2]武汉大学信息管理学院国家新闻出版署语义出版与知识服务重点实验室,武汉430072

出　　处：《中华医院管理杂志》2023年第6期465-470,共6页Chinese Journal of Hospital Administration

基　　金：武汉市科技局应用基础前沿技术项目(2020020601012230);武汉大学国家保密学院自主科研项目(2021)。

摘　　要：目的从国家、医院、和个体3个层面构建新发重大传染病背景下基于疫情防控视角的社会损失指标体系,为公立综合医院制定新发重大传染病防控措施提供决策依据。方法以"新发重大传染病""突发公共卫生事件""社会损失""新冠疫情""评价"等和"infectious diseases""public health emergency""social loss""COVID-19""evaluate"等为检索词,于中国知网(CNKI)、万方、维普、Web of Science,Google Scholar检索截至2020年12月23日发表的文献。通过文献分析和专家咨询法,从国家、医院和个体3个层面初步构建新发重大传染病背景下的公立综合医院社会损失指标体系。根据初步构建的社会损失指标体系,分别针对国家、医院和个体3种主体设计调查问卷,于2021年12月25日至2022年5月20日进行问卷调查。采用因子分析法分析问卷数据以优化社会损失指标体系并确定各指标的权重。结果公立综合医院社会损失指标体系包括14个一级指标和60个二级指标,国家层面的一级指标为政府治理能力、国家直接经济损失、社会保障、网络舆情、间接经济损失和国际合作;医院层面为医院人力、物力及信息资源,医院服务和医院运行情况;个体层面为生理健康、心理社会健康和外在环境。各层面权重最高的一级指标分别为社会保障,人力、物力和信息资源以及生理健康;权重最高二级指标分别为高额医疗费用支出、非医护人员过劳和医疗保险。结论本研究构建的新发重大传染病背景下的社会损失指标体系具有较好的科学性和合理性,可为公立综合医院防控措施的制定提供依据。Objective To construct a social loss indicator system based on the perspective of epidemic prevention and control against background of emerging major infectious diseases at the national,hospital,and individual levels,and to provide decision-making basis for public general hospitals to formulate prevention and control strategies for emerging major infectious diseases.Methods Literatures published before December 23,2020 were retrieved from CNKI,Wanfang,VIP,Web of Science,Google Scholar with such keywords as"infectious diseases""public health emergencies""social losses""COVID-19""evaluation".Then a preliminary social loss indicator system of public general hospitals for emerging major infectious diseases was constructed from such dimensions as country,hospital,and individual,by implementing literature analysis and expert consultation.Based on such a preliminary system,three questionnaires were designed for the country,hospitals,and individuals and the corresponding data were collected from December 25,2021 to May 20,2022.In the end,a factor analysis was made on the questionnaire data to optimize the social loss indicator system and determine the weights of each indicator.Results The social loss indicator system consists of 14 level-1 indicators and 60 level-2 indicators.Level-1 indicators at country aspect consisted of government governance capacity,direct economic losses,social security,online public opinion,indirect economic losses,and international cooperation;indicators at hospital aspect consisted of hospital manpower,material resources,and information resources,hospital services,and hospital operations;indicators at the individual aspect consisted of physical health,psychological and social health,and external environment.Level-1 indicators of the highest weight at all aspects were social security,manpower,material and information resources,as well as physiological health.And the level-2 indicators of the highest weight were high medical expenses,overwork for staff other than doctors and nurses and medical i

关 键 词：新发重大传染病 疫情防控 公立综合医院 社会损失 指标体系构建 

分 类 号：R181.8[医药卫生—流行病学]