新冠疫情前后中国内地重大疫情防控工作职责明确程度变化分析  

Changes in clear assignment of departmental responsibilities for major epidemic prevention and control in the Chinese Mainland before and after COVID-19 epidemic:an analysis on official documents

作　　者：朱浩 施培武[3,9] 沈群红 蒲川[5,9] 胡志 王磐石[7,9] 汪华 李程跃[1,2,9] 周庆誉 郝模 ZHU Hao;SHI Peiwu;SHEN Qunhong;PU Chuan;HU Zhi;WANG Panshi;WANG Hua;LI Chengyue;ZHOU Qingyu;HAO Mo(Department of Health Policy and Management,School of Public Health,Fudan University,Shanghai 200032,China;Research Institute of Health Development Strategies,Fudan University,Shanghai 200032,China;Zhejiang Academy of Medical Sciences,Hangzhou 310012,China;School of Public Policy and Management,Tsinghua University,Beijing 100084,China;School of Public Health and Management,Chongqing Medical University,Chongqing 400016,China;Anhui Medical University,Hefei 230032,China;Shanghai Municipal Health Commission,Shanghai 200031,China;Jiangsu Preventive Medicine Association,Nanjing,210009,China;Collaborative Innovation Center of Social Risks Governance in Health,Fudan University,Shanghai 200032,China)

机构地区：[1]复旦大学公共卫生学院卫生事业管理学教研室,上海200032 [2]复旦大学卫生发展战略研究中心,上海200032 [3]浙江省医学科学院,杭州310012 [4]清华大学公共管理学院,北京100084 [5]重庆医科大学公共卫生与管理学院,重庆400016 [6]安徽医科大学,合肥230032 [7]上海市卫生健康委员会,上海200031 [8]江苏省预防医学会,南京210009 [9]健康风险预警治理协同创新中心,上海200032

出　　处：《中国公共卫生》2024年第3期274-279,共6页Chinese Journal of Public Health

基　　金：上海市加强公共卫生体系建设三年行动计划(2020-2022年)项目(GWV–12);徐汇区公共卫生科研培育专项(XHGW202101)。

摘　　要：目的评价新冠疫情发生前后中国内地重大疫情防控工作的职责明确程度差异,探讨疫情对职责明确程度的影响。方法系统收集2000年1月1日-2020年12月31日中国内地31个省(自治区、直辖市)涉及重大疫情防控工作的政策文件,从中提取相关信息,从职责覆盖、清晰、可考核3个方面量化分析各地职责明确程度,并用配对t检验或配对秩和检验对疫情前后的指标差异进行统计检验。结果共收集3864份文件。中国内地31省(自治区、直辖市)平均职责覆盖程度由2019年的80.93%(18.61/23.00)升至2020年的89.62%(20.61/23.00),职责可考核程度由26.16%(4.81/18.61)升至30.93%(6.39/20.61),职责明确程度从44.00%升至54.58%,差异均有统计学意义(P<0.05),职责清晰程度无明显提升(P>0.05)。分部门看,业务条线部门职责明确程度升至87.10%,关键支撑部门升至20.97%,差异均有统计学意义(P<0.05),其他支撑部门无明显提升。结论我国重大疫情防控工作职责明确程度显著提升,但在部门职责可考核方面仍需强化。Objective To examine the variation in clearly documented assignment of departmental responsibilities for major epidemic prevention and control in the Chinese mainland before and after the outbreak of COVID-19.Methods Official policy documents related to major epidemic prevention and control issued by administrative agencies of 31 provincial level administrative divisions from 2000 through 2020 were systematically retrieved online from websites of the agencies.The extracted information on the coverage,clarification and assessability of the assigned departmental responsibilities for major epidemic prevention and control were analyzed;T-test and paired rank sum test were adopted in statistical analysis.Results Based on relevant information extracted from the 3864 policy documents retrieved,the nationwide average proportion of the departments with officially assigned responsibility versus all departments at provincial level increased significantly from 80.93%(18.61/23.00)in 2019 to 89.62%(20.61/23.00)in 2020(P<0.05);the average proportion of the departments with the assessable responsibility versus all departments with the assigned responsibility increased from 26.16%(4.81/18.61)to 30.93%(6.39/20.61)and the average proportion of the departments with the specified responsibility versus all departments with the assigned responsibility also increased significantly from 44.00%to 54.58%;but the average proportion of the departments with clearly specified responsibility was not significantly improved.In 2020,the nationwide average proportion of the provincial departments with officially assigned responsibility increased significantly to 87.10%and 20.97%for the professional departments and the key support departments(P<0.05),while the proportion for other support departments was not significantly different from that in 200o.Conclusion The degree of clearly documented assignment of departmental responsibilities for major epidemic prevention and control in China has been significantly improved after the outbreak of COVID-19 e

关 键 词：新型冠状病毒感染疫情 重大疫情防控 职责明确 

分 类 号：R181.8[医药卫生—流行病学]