Clarity of responsibilities for all parties in public health emergency response in Liaoning and Jilin province: a literature analysis
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摘要:
目的 分析辽宁、吉林两地突发应急领域各方职责明确状况及其与防制效果的关系,为建设完善的公共卫生组织体系提供参考依据。 方法 通过政府部门网站、专业机构网站系统以及中国知网、万方、web of science等公开信息渠道,收集2000 — 2017年两地突发应急领域中提及与各方职责明确状况相关的公开政策文件辽宁省83篇,吉林省102篇,通过聚类分析和定性、定量方法评价两地职责明确程度,运用Spearman相关、线性回归分析其与防制效果之间的关系。 结果 辽吉两地职责明确程度分别从2000年的0.00 %,0.00 % 逐渐上升到2017年的20.60 %,21.95 %;防制效果从40.00 %,0.00 % 逐渐上升到53.33 %,60.00 %;两者之间存在高度正相关(P < 0.05),相关系数分别为0.496和0.605。 结论 突发应急领域辽吉两地各方职责明确程度明显提高,防制效果逐渐上升,公共卫生组织体系趋于完善。 Abstract:Objective To analyze the clarity of responsibilities for all parties in public health emergency (PHE) response and the relationship between the clarity and the response efficacy in Liaoning and Jilin province for providing references for the improvement in public health organization system construction. Methods We searched literatures and documents referring to responsibility assignment for all parties in PHE response published by government agencies and professional institutions in the two provinces from 2000 through 2017 via public websites, China National Knowledge Infrastructure (CNKI), Wanfang Data and Web of Science. Cluster analysis and qualitative and quantitative methods were used to evaluate the clarity of the responsibility assignment for all parties of the two provinces. Spearman correlation and linear regression were used to analyze the relationship between the clarity and response efficacy. Results For the administration in Liaoning and Jilin province, the index for the clarity of the responsibilities assignment increased gradually from zero in 2000 to 20.60% and 21.95% in 2017; the index for response efficacy also gradually increased from 40.00% and zero to 53.33% and 60.00%, respectively. Significantly positive correlation between the clarity and the response efficacy was observed in Liaoning and Jilin province, with the correlation coefficients of 0.496 and 0.605, respectively (both P < 0.05). Conclusion The clarity of responsibilities for all parties in public health emergency response and the response efficacy have been improved in Liaoning and Jilin province since 2000, indicating an improvement in the construction of public health organization system of the two regions. -
Key words:
- clarity of responsibility /
- management efficacy /
- emergency response
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表 1 2000 — 2017年辽吉两地突发应急领域各方职责明确程度和防制效果(%)
项目 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 职责分工 辽宁 0.00 0.00 0.00 16.54 16.54 17.44 17.44 20.05 20.05 20.05 21.46 21.46 21.46 21.46 21.46 21.46 20.60 20.60 吉林 0.00 0.00 0.00 19.24 19.24 19.24 19.24 21.33 21.33 20.99 21.99 21.99 21.99 21.99 22.59 22.59 22.59 21.95 防制效果 辽宁 40.00 40.00 40.00 45.00 44.00 44.00 44.00 44.00 44.00 44.00 40.00 40.00 46.67 42.86 48.00 45.00 53.33 53.33 吉林 0.00 45.00 40.00 43.33 43.33 43.33 40.00 43.33 40.00 46.67 46.67 46.67 48.57 48.57 48.57 64.00 60.00 60.00 表 2 2000 — 2017年辽吉两地各方职责明确程度与防制效果Spearman相关分析和回归分析
地区 r 值 P 值 回归系数 P 值 辽宁 0.496 0.036 0.496 < 0.05 吉林 0.605 0.008 0.605 < 0.05 -
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