Advance Search
Volume 39 Issue 4
Apr.  2023
Turn off MathJax
Article Contents
YAN Wenxin, GUO Xin, LIU Xia, . Trend in coordination for integration of medical treatment and disease prevention in the mainland of China, 2004 – 2020: a statistical data based analysis[J]. Chinese Journal of Public Health, 2023, 39(4): 472-478. doi: 10.11847/zgggws1140422
Citation: YAN Wenxin, GUO Xin, LIU Xia, . Trend in coordination for integration of medical treatment and disease prevention in the mainland of China, 2004 – 2020: a statistical data based analysis[J]. Chinese Journal of Public Health, 2023, 39(4): 472-478. doi: 10.11847/zgggws1140422

Trend in coordination for integration of medical treatment and disease prevention in the mainland of China, 2004 – 2020: a statistical data based analysis

doi: 10.11847/zgggws1140422
  • Received Date: 2022-09-22
    Available Online: 2023-03-31
  • Publish Date: 2023-04-10
  •   Objective  To examine the development of coordination for the integration of medical treatment and disease prevention (treatment-prevention) in 31 provincial level administrative divisions (PLADs) across China during 2004 – 2020 and to provide a reference for promoting the integration of treatment and prevention in Healthy China construction.   Methods  Base on the data collected from the China Health Statistical Yearbook and the China Statistical Yearbook of 2004 – 2020, we compiled relevant indicators for measuring comprehensive development of the medical system and the public health system at national level and PLAD level. We conducted a coupling coordination model analysis and an interrupted time series model analysis (ITSA) to test instantaneous and persistent impact of the “New Medical System Reform Policy” on the development, the degree of coupling, and coordination of the treatment-prevention integration subsystem.   Results  From 2004 to 2020, the index for comprehensive development of medical system (SY) increased from 0.560 to 0.692 at national level and the SY also increased for all the PLADs with the ranges from 0.385 – 0.655 to 0.524 – 0.758; during the same period, the index for comprehensive development public health system (SG) increased from 0.747 to 0.875 at national level and the SG of all the PLADs increased similarly in the ranges from 0.501 – 0.846 to 0.696 – 0.995. The range-specific SY and SG were the highest for the PLADs in eastern China in 2020, with the ranges of 0.573 – 0.703 for SY and 0.764 – 0.901 for SG. The results of ITSA showed that the “New Medical System Reform Policy” had a significant transient impact (β2 = 0.024 – 0.145, P < 0.05) and persistent impact (β3 = 0.004 – 0.032, P < 0.05) on the development of medical system (SY) in most PLADs, but not on public health system (SG). From 2004 to 2020, the coupling degree (C) of medical system and public health system at national and PLADs level were all above 0.9, indicating a good system coupling. The index (D) for degree of coordination in treatment-prevention integration increased from 0.805 in 2004 to 0.880 in 2020 at national level and the range of D increased from 0.663 – 0.852 in 2004 to 0.777 – 0.930 in 2020 at PLAD level.   Conclusion  Comprehensive development of treatment-prevention integration subsystem in has been improving during 2004 – 2020 in China, and the degree of coupling coordination in treatment-prevention integration has been gradually strengthened, but regional difference still exists.
  • loading
  • [1]
    “创新医防协同机制、策略与实施路径学术研讨会”专家组. 创新医防协同机制专家建议[J]. 中华医学杂志, 2021, 101(32): 2505 – 2507. doi: 10.3760/cma.j.cn112137-20210408-00846
    [2]
    李克强. 政府工作报告 —— 2021年3月5日在第十三届全国人民代表大会第四次会议上[EB/OL]. (2021 – 03 – 05)[2022 – 08 – 12]. http://www.gov.cn/zhuanti/2021lhzfgzbg/index.htm.
    [3]
    王俊鹏, 张乐, 李丽, 等. 医防融合视角下的基层医疗卫生服务体系耦合度实证研究[J]. 卫生软科学, 2021, 35(4): 33 – 35,40. doi: 10.3969/j.issn.1003-2800.2021.04.008
    [4]
    方雄鹰, 谭华伟, 陈菲, 等. 2010 — 2019年广东省医防融合协调水平评价[J]. 医学与社会, 2022, 35(6): 23 – 28.
    [5]
    张予川, 李思萌. 区域经济与制造业服务化耦合协调度研究 —— 以长江经济带为例[J]. 统计与管理, 2020, 35(12): 30 – 36. doi: 10.16722/j.issn.1674-537x.2020.12.005
    [6]
    刘璐. 京津冀地区基本公共服务与经济发展协调关系研究[D]. 石家庄: 河北师范大学, 2020.
    [7]
    张晗希, 韩孟杰, 周郁, 等. 应用中断时间序列分析我国“四免 – 关怀”政策实施前后对艾滋病相关病死率的影响[J]. 中华流行病学杂志, 2020, 41(3): 406 – 411. doi: 10.3760/cma.j.issn.0254-6450.2020.03.024
    [8]
    中华人民共和国国家卫生健康委员会. 海南推广基层卫生信息化“澄迈经验”[EB/OL]. (2021 – 07 – 17)[2022 – 08 – 12]. http://www.nhc.gov.cn/mohwsbwstjxxzx/s8553/201108/52663.shtml.
    [9]
    金嘉杰, 刘静, 钱稳吉, 等. 新医改背景下海南省社会资本办医发展状况研究[J]. 医学与社会, 2017, 30(10): 8 – 11. doi: 10.13723/j.yxysh.2017.10.003
    [10]
    麦婉华. 可持续发展是“一元钱看病”关键[J]. 小康, 2021(11): 20 – 25.
    [11]
    邵华, 王琦琦, 胡跃华, 等. 中断时间序列分析及其在公共卫生领域中的应用[J]. 中华流行病学杂志, 2015, 36(9): 1015 – 1017. doi: 10.3760/cma.j.issn.0254-6450.2015.09.023
    [12]
    任琳, 高楠, 张晓梅, 等. 应用中断时间序列分析日间手术对平均住院日的影响[J]. 中国卫生统计, 2021, 38(4): 536 – 538.
    [13]
    王肖惠霞. 基本公共卫生服务能力评价及影响因素研究[D]. 长沙: 湖南农业大学, 2020.
    [14]
    于洗河, 张野, 沈文生, 等. 吉林省县级公立医院改革现状分析[J]. 医学与社会, 2014, 27(4): 10 – 13.
    [15]
    李晓东, 何君, 王心阔. 青海深化医改注重“强三基惠民生”[N]. 健康报, 2010 – 01 – 14(01).
    [16]
    周长强. “强基层”的海南探索: 以关键突破推动综合改革[J]. 中国卫生, 2022(6): 96 – 97.
    [17]
    董佩, 王坤, 毛阿燕, 等. 我国公共卫生与医疗服务融合现状及对策[J]. 中国公共卫生, 2020, 36(12): 1686 – 1689. doi: 10.11847/zgggws1133336
    [18]
    王畅, 刘慧, 孙敏英, 等. 广州市基本医疗和基本公共卫生融合情况分析[J]. 中国公共卫生, 2021, 37(12): 1797 – 1799. doi: 10.11847/zgggws1134578
    [19]
    黄鹏, 庄炜, 魏丽荣. 从重大传染病定点救治机构角度探索公立医院医防融合机制的建立[J]. 中国医院, 2021, 25(8): 1 – 3. doi: 10.19660/j.issn.1671-0592.2021.8.01
    [20]
    闫温馨, 刘珏. 基于集聚度和差别指数的东北三省疾控中心人力资源配置公平性分析[J]. 现代预防医学, 2021, 48(19): 3543 – 3548.
    [21]
    刘志刚, 薛文静, 杨懿, 等. 我国医防融合理论与实践研究进展[J]. 卫生软科学, 2022, 36(3): 3 – 6,12. doi: 10.3969/j.issn.1003-2800.2022.03.001
    [22]
    刘璐, 谭巍. 2014 — 2018年我国卫生人力资源配置公平性研究[J]. 中国社会医学杂志, 2022, 39(3): 352 – 355. doi: 10.3969/j.issn.1673-5625.2022.03.027
    [23]
    Qin CY, Liu M, Guo X, et al. Human resources in primary health - care institutions before and after the new health - care reform in China from 2003 to 2019: an interrupted time series analysis[J]. International Journal of Environmental Research and Public Health, 2022, 19(10): 6042. doi: 10.3390/ijerph19106042
    [24]
    李立明. 公共卫生在健康中国建设中的地位和作用[J]. 中华流行病学杂志, 2018, 39(7): 867 – 872. doi: 10.3760/cma.j.issn.0254-6450.2018.07.001
    [25]
    王水平. 加强公立医院公共卫生职能建设[J]. 中国卫生, 2021(3): 12 – 14.
    [26]
    毛阿燕, 孟月莉, 严晓玲, 等. 促进健康中国建设中公共卫生体系的职责与使命[J]. 中国公共卫生, 2021, 37(9): 1313 – 1318. doi: 10.11847/zgggws1134945
    [27]
    黄清华. 健康权三维理论与中国卫生体系良法善治 —— 兼论《基本医疗卫生与健康促进法(草案)二审稿》修改[J]. 中国发展, 2019, 19(5): 70 – 75. doi: 10.15885/j.cnki.cn11-4683/z.2019.05.014
    [28]
    黄艳丽, 叶静雪, 刘鸿源. 中美英基层医疗服务质量评价框架及“两病”质量指标对比研究[J]. 中国全科医学, 2021, 24(31): 3929 – 3941.
    [29]
    中华人民共和国国家卫生健康委员会. 关于推进家庭医生签约服务高质量发展的指导意见[EB/OL]. (2022 – 03 – 03)[2022 – 08 – 12]. http://www.gov.cn/zhengce/zhengceku/2022-03/15/content_5679177.htm.
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(4)

    Article views (349) PDF downloads(60) Cited by()
    Proportional views
    Publishing history
    • Receive:  2022-09-22
    • Online:  2023-03-31
    • Published:  2023-04-10

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return