新型冠状病毒感染疫情前后我国重大疫情防控工作协调程度变化

Changes in coordination of departments for major epidemic prevention and control in China before and after the outbreak of COVID-19: an analysis on official documents

  • 摘要:
    目的 分析新型冠状病毒感染(简称“新冠”)疫情前后我国重大疫情防控工作的协调程度变化情况,探究疫情防控对协调程度的影响。
    方法 系统收集2000年1月—2020年12月我国31个省(自治区、直辖市)有关疫情防控工作的政策文件3 864份,摘录针对协调合作的文件内容,量化协调的部门范围,从而评价各地疫情防控工作的协调程度,采用配对符号秩和检验对疫情发生前后的指标差异进行统计学分析。
    结果 31个省(自治区、直辖市)重大疫情防控工作平均整体协调程度由43.06%升至97.62%,东、中、西部地区平均整体协调程度在新冠疫情发生后分别由42.29%、37.50%、47.46%升至98.81%、96.20%、97.46%,差异均有统计学意义(均P<0.05)。从部门类别来看,业务条线部门和关键支撑部门协调程度升至100.00%,其他支撑部门升至95.43%,增幅分别为77.15%、181.85%、139.89%,差异均有统计学意义(均P<0.001)。
    结论 我国重大疫情防控工作协调部门范围在新冠疫情后扩大,关键支撑部门协调程度提升尤为明显。今后应重视多部门协同机制在疫情防控工作中发挥的作用,明确部门的权责划分,提升部门协调程度。

     

    Abstract:
    Objective To analyze the changes in the degree of coordination of China's major epidemic prevention and control efforts before and after the outbreak of the Corona Virus Disease 2019 (COVID-19), so as to explore the impact of epidemic prevention and control measures on coordination dynamics.
    Methods A total of 3 864 policy documents related to epidemic prevention and control from January 2000 to December 2020 across 31 provinces (autonomous regions, and municipalities) in China were systematically collected. Contents specific to collaborative and cooperative efforts were extracted, and the extent of interdepartmental coordination were quantified to assess the effectiveness of epidemic prevention and control efforts. Wilcoxon signed-rank test was adopted to statistically analyze the differences between the indicators before and after the epidemic.
    Results The average overall coordination level for major epidemic prevention and control in 31 provinces (autonomous regions, and municipalities) increased from 43.06% to 97.62%, and the average coordination levels in the eastern, central, and western China soared from 42.29%, 37.50%, and 47.46%, to 98.81%, 96.20%, and 97.46%, respectively, with statistically significant differences (all P<0.05). In terms of department categorization, coordination levels in the professional departments and the key support departments peaked at 100.00%, while other support departments rose to 95.43%, with an increase of 77.15%, 181.85%, and 139.89%, respectively, exhibiting noteworthy statistically significant differences (all P<0.001).
    Conclusion The scope of coordination departments of China’s major epidemic prevention and control exists a remarkable surge following the COVID-19 outbreak, notable heightened coordination is particularly observed among the key support departments. Future endeavors should prioritize the roles played by diverse departments in epidemic prevention and control, enhancing both the clarity of departmental responsibilities and the effectiveness of interdepartmental coordination.

     

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