Analysis of hospital infectious disease prevention and control policies from the perspective of public health risk governance
10.3760/cma.j.cn111325-20231203-00370
- VernacularTitle:公共卫生风险治理视角下医院传染病防控政策分析
- Author:
Hui YI
1
;
Guanjun LIU
;
Jiaxin LIU
;
Rui MIN
Author Information
1. 华中科技大学同济医学院附属协和医院总务处，武汉 430022
- Keywords:
Health policy;
Hospital;
Public health risk governance;
Infectious disease prevention and control;
Quantification analysis of policy text
- From:
Chinese Journal of Hospital Administration
2024;40(5):380-386
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To quantitatively analyze the hospital infectious disease prevention and control policy texts in China, providing reference for optimizing the formulation of hospital infectious disease prevention and control policies and enhancing the public health risk management capabilities of infectious diseases.Methods:With the " hospital" " epidemic" " public health" " risk management" as keywords, relevant policy documents issued from October 2017 to December 2023 were searched on the official websites of the State Council and the National Health Commission. Based on the perspective of public health risk governance for infectious diseases, the content analysis method was used to quantitatively analyze policy texts from three dimensions: policy tools (supply oriented, demand oriented, and environmental oriented), policy objects (hospitals and medical staff as internal objects, grassroots medical and health institutions, disease prevention and control institutions, and health administrative authorities as external objects), and risk management lifecycle (risk identification, risk assessment, risk control, and risk management effectiveness evaluation).Results:A total of 98 hospital infectious disease prevention and control policies were included, with a total of 539 codes obtained. Among them, there were 134, 179, and 226 policy items for supply, demand, and environment oriented, respectively. There were 239, 25, 24, 26, and 225 policy items for hospitals, medical staffs, grassroots medical and health institutions, disease prevention and control institutions, and health administrative authorities, respectively. In the stages of risk identification, risk assessment, risk control, and risk management effectiveness evaluation, there were 117, 34, 326, and 62 policy items, respectively. Three dimensional cross analysis revealed that in the risk identification stage, environmental policy tools were often used to strengthen the responsibilities of hospitals (29/117) and health administrative authorities (23/117); The main policy tools used in the risk assessment stage were demand based tools for the health administrative authorities (6/34); During the risk control stage, three types of policy tools were used to propose requirements for each policy object; The evaluation stage of risk management effectiveness mainly used environmental policy tools to regulate the main responsibility of health administrative authorities (33/62), which was not reflected in grassroots medical and health institutions, medical staffs, and disease prevention and control institutions.Conclusions:In China′s hospital infectious disease prevention and control policies, there were differences in the design and application of various policy tools and risk management policies at different stages, and the division of responsibility for policy objects still needed to be optimized. Policy makers should make reasonable use of policy tools, strengthen the full lifecycle management and policy coverage of infectious disease risks from the perspective of public health governance, clarify the division of responsibilities among various policy objects, and improve the hospital′s ability to manage infectious disease public health risks.
