| Objective: Infectious disease is historically important factors hinder the progress of human society development,not only harm to people’s life safety and body health,can also affect the country’s social economic level,with the progress of social productivity and science and technology level of medical,many poses a great panic in history of infectious diseases has gradually been medical solution by now,but constantly destruction of ecological environment in recent years,plus some human abuse the habit of eating wild animals,emerging infectious diseases appear constantly,caused a huge impact to the society.Outbreak of the SARS outbreak in 2003 and 2019 at the end of the beginning of 2020 and the global epidemic of COVID-19 cases were explained the infectious diseases prevention and control work is a longterm and difficult business,is still a must face the problem of the whole society and humankind,therefore,infectious disease prevention is scientific and effective to the health of the people and the country’s social development is of great significance.Suitable for infectious disease prevention system should be for each target setting prevention should focus on infectious disease,based on the Chongqing,Tianjin government dominated in the field of infectious disease prevention and control work,based on the early stage of the research study,analysis of the current government and related organizations in the field of infectious diseases under the conditions of the policy to control the current situation of goal setting,for infectious disease prevention and control work in the field of both provide reference for further perfect Suggestions and countermeasures,and to other areas and other public health prevention treatment work provides experience for reference and theory reference.Methods: Macro model of health system based on the health system as guidance and research methods,two horizontal level in Chongqing,Tianjin municipality directly under the central government as a comparative object,longitudinal level from 2000 to 2017 as the time node will both infectious diseases prevention goal setting conditions,application of standard analysis method,has been clear about the epidemic prevention work of both advantages and to be perfect.The policy documents,laws and regulations related to infectious diseases published by the governments and relevant agencies of Chongqing and Tianjin from 2000 to 2017 were systematically collected to analyze the setting of the prevention and control targets of infectious diseases in the two cities according to the target setting of the concerned public health issues.Spearman correlation analysis and linear regression model were used to analyze the influence of the change of the setting of the prevention and treatment targets on the incidence of infectious diseases.Result: Based on the macro model of health system,this paper evaluated the status quo of the target setting of infectious disease prevention in Chongqing and Tianjin from the perspective of "structureprocess-result".1.Scope of concern for infectious diseases: by the end of 2017,among the 52 issues that should be concerned in the field of infectious diseases,41 of them had been paid attention to,with the scope of concern reaching 78.8%,an increase of 13.9% over that of 2000.There was a significant negative correlation between the scope of concern for infectious diseases and the incidence of infectious diseases(r = 0.861,P < 0.01).Tianjin paid attention to 44 infectious diseases among them,and the concern range reached 84.6%,which was 25.7% higher than that of 2000.There was a significant negative correlation between the concern range of infectious diseases and the incidence of infectious diseases(r = 0.863,P < 0.01).2.Infectious disease prevention goal setting coverage at all levels: by the end of 2017,the problem of infectious diseases prevention at all levels,a degree of goal setting cover,Chongqing primary,secondary and tertiary prevention goal setting coverage reached 78.8%,75.0% and 40.4% respectively,compared with 2000 increases 13.9%,75.0% and 40.4% respectively,goal setting coverage of infectious diseases and infectious diseases incidence was significantly negative correlation between(r = 0.554,P < 0.05);The coverage of primary,secondary and tertiary prevention goals in Tianjin reached 84.6%,72.6% and 34.6%,respectively,and the ratio of Chongqing to Tianjin was 93.1%,103.3% and 116.8%,respectively.There was a significant negative correlation between the coverage of infectious disease goals and the incidence of infectious diseases in Tianjin(r = 0.954,P < 0.05).3.The scientific and reasonable degree of the objective setting of infectious disease prevention: By the end of 2017,infectious disease control extent of scientific and reasonable goal setting,primary,secondary and tertiary prevention of Chongqing sensitive and quantitative target of proportion increased to 69.2% in 2017,28.8% and 25.0% respectively,the increase of 69.2%,28.8% and 25.0% respectively,the prevention of infectious diseases between the degree of scientific and reasonable goal setting and infectious disease incidence was significantly negative correlation(r = 0.554,P < 0.05),Tianjin infectious disease prevention between the degree of scientific and reasonable goal setting and infectious disease incidence was significantly negative correlation(r = 0.954,P < 0.05).4.Infectious disease prevention goal setting appropriate degree: by the end of 2017,the problem of infectious diseases prevention suitability aspect of goal setting,Chongqing increased from 22.8% in 2000 to 45.7% in 2017,the rise of 100%,the problem of infectious disease control between the suitable degree of goal setting and infectious disease incidence was significantly negative correlation(r = 0.574,P < 0.05);Tianjin increased from 21.9% in 2000 to 41.0% in 2017,with an increase rate of 87.2%.There was a significant negative correlation between the appropriateness of the target setting and the incidence of infectious diseases(r = 0.906,P < 0.05).Conclusion: Chongqing and Tianjin attach great importance to the prevention and control of infectious diseases,and the overall situation of the goal setting of the prevention and control of infectious diseases led by the government is good.Dual concern infectious disease range widely,various prevention goal setting cover degree,the degree of scientific and reasonable goal setting is good,but there are still some weaknesses need to improve,such as the lower level of the secondary and tertiary prevention goal setting sensitive and quantitative target coverage is not comprehensive,infectious disease prevention target the suitability of the overall level is not high,in the future of infectious disease prevention and control work,the government should continue to play a leading role,provide service for the masses of the people,safeguard public health,striving for the vigorous development of our country health enterprise. |
PDF Full Text Request