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中国疾病预防控制中心为控制中国传染病和地方病所提供公共卫生服务的系统动力学建模。

System dynamics modeling of public health services provided by China CDC to control infectious and endemic diseases in China.

作者信息

Li Meina, Yu Wenya, Tian Wei, Ge Yang, Liu Yuan, Ding Tao, Zhang Lulu

机构信息

Department of Military Health Service Management, College of Military Health Service Management, Second Military Medical University, Shanghai, China,

Medical Care Department, Dalian Rehabilitation Center of PLA, Dalian, China.

出版信息

Infect Drug Resist. 2019 Mar 13;12:613-625. doi: 10.2147/IDR.S185177. eCollection 2019.

Abstract

BACKGROUND

Infectious and endemic diseases are a serious public health concern worldwide, and their prevention and treatment are globally controversial. This study aimed to establish an system dynamics (SD) model to analyze the factors influencing public health services provided by the Chinese Centers for Disease Control and Prevention (China CDC) to implement infectious and endemic disease control in China, by establishing more effective interventions to provide public health services and thus achieving the goal of controlling infectious and endemic diseases.

MATERIALS AND METHODS

An SD model was constructed using the Vensim DSS program. Intervention experiments were performed using the SD model, which reflected the influences on disease control by adjusting the governmental investment and compensation level for public health products.

RESULTS

The experimental results showed that increasing the governmental investment in China CDC and compensation level for public health products will significantly increase the public health product rate provided by China CDC.

DISCUSSION

Problems with infectious and endemic disease prevention and treatment are the result of the system's incomplete functioning and limited health resources. To address the current problems and improve the system, the government should increase its investment in the public health service system and improve the compensation system to ensure smooth implementation of infectious and endemic disease prevention and treatment and, ultimately, improve public health in China.

摘要

背景

传染病和地方病是全球严重的公共卫生问题,其预防和治疗在全球范围内存在争议。本研究旨在建立一个系统动力学(SD)模型,通过建立更有效的干预措施来提供公共卫生服务,从而实现控制传染病和地方病的目标,分析中国疾病预防控制中心(中国疾控中心)在实施中国传染病和地方病控制过程中影响公共卫生服务的因素。

材料与方法

使用Vensim DSS程序构建SD模型。利用该SD模型进行干预实验,通过调整政府对公共卫生产品的投入和补偿水平来反映对疾病控制的影响。

结果

实验结果表明,增加政府对中国疾控中心的投入和公共卫生产品的补偿水平将显著提高中国疾控中心提供的公共卫生产品率。

讨论

传染病和地方病防治问题是系统功能不完善和卫生资源有限的结果。为解决当前问题并完善该系统,政府应增加对公共卫生服务体系的投入,完善补偿制度,以确保传染病和地方病防治工作顺利实施,最终改善中国的公共卫生状况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a1fb/6422414/870daa448024/idr-12-613Fig1.jpg

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