Changes in target setting for major epidemic emergency response in China before and after COVID-19 epidemic: an official documents analysis

ObjectiveTo analyze changes in target setting for emergency response to major disease epidemics in China before and after the coronavirus disease 2019 (COVID-19) pandemic, summarize strengths and weaknesses in target setting, and provide a basis for improving target setting for emergency response to...

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Main Authors: Yushu LI, Peiwu SHI, Qunhong SHEN, Chaoyang ZHANG, Zheng CHEN, Chuan PU, Lingzhong XU, Zhi HU, Anning MA, Zhaohui GONG, Tianqiang XU, Panshi WANG, Hua WANG, Chao HAO, Qingyu ZHOU, Chengyue LI, Mo HAO
Format: Article
Language:zho
Published: Editorial Office of Chinese Journal of Public Health 2024-10-01
Series:Zhongguo gonggong weisheng
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Online Access:https://www.zgggws.com/article/doi/10.11847/zgggws1143672
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author Yushu LI
Peiwu SHI
Qunhong SHEN
Chaoyang ZHANG
Zheng CHEN
Chuan PU
Lingzhong XU
Zhi HU
Anning MA
Zhaohui GONG
Tianqiang XU
Panshi WANG
Hua WANG
Chao HAO
Qingyu ZHOU
Chengyue LI
Mo HAO
author_facet Yushu LI
Peiwu SHI
Qunhong SHEN
Chaoyang ZHANG
Zheng CHEN
Chuan PU
Lingzhong XU
Zhi HU
Anning MA
Zhaohui GONG
Tianqiang XU
Panshi WANG
Hua WANG
Chao HAO
Qingyu ZHOU
Chengyue LI
Mo HAO
author_sort Yushu LI
collection DOAJ
description ObjectiveTo analyze changes in target setting for emergency response to major disease epidemics in China before and after the coronavirus disease 2019 (COVID-19) pandemic, summarize strengths and weaknesses in target setting, and provide a basis for improving target setting for emergency response to major disease epidemics in China. MethodsWe systematically retrieved a total of 3 864 policy documents (including plans, laws and regulations, and work programs) related to the prevention and control of major epidemics issued by government agencies of 31 provincial-level administrative divisions (PLADs) in Chinese mainland from 2000 to 2020. Relevant target content was extracted and the degree of consistency between emergency response targets for major diseases and public demand was calculated (the newly added targets are calculated on a cumulative basis from the precious year, and no value is assigned for duplicates). Paired rank sum tests were used to statistically test for differences in indicators before and after the epidemic. ResultsThe consistency between the overall goal of emergency response to major disease epidemics and public needs in China increased from 79.7% by 2019 (before COVID-19) to 91.3% in by 2020 (after COVID-19), with an increase of 14.6%, and the region-specific consistency increased from 81.2% to 93% for the eastern region and from 78.3% to 90.1% for the western region, with an increase of 14.5% and 15.1%, respectively, and a significant difference between the regions (P < 0.05). National consistency between the primary prevention goal of emergency response to major disease epidemics and public needs increased from 36.9% to 46.4%, with a significant difference between the periods before and after the COVID-19 epidemic (P < 0.05); there were no significant differences between periods in consistency between the secondary and tertiary prevention goals of emergency response to major disease epidemics and public needs at either the national or regional level. ConclusionConsistency between emergency response goals for major disease epidemics and public needs in China has increased, either at the national or regional level, especially for primary prevention goals.
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spelling doaj-art-fcd60765fe6844469565541e9fea3a4d2025-01-23T05:11:54ZzhoEditorial Office of Chinese Journal of Public HealthZhongguo gonggong weisheng1001-05802024-10-0140101225122910.11847/zgggws11436721143672Changes in target setting for major epidemic emergency response in China before and after COVID-19 epidemic: an official documents analysisYushu LI0Peiwu SHI1Qunhong SHEN2Chaoyang ZHANG3Zheng CHEN4Chuan PU5Lingzhong XU6Zhi HU7Anning MA8Zhaohui GONG9Tianqiang XU10Panshi WANG11Hua WANG12Chao HAO13Qingyu ZHOU14Chengyue LI15Mo HAO16Research Center for Health Development Strategy, Fudan University, Shanghai 200032, ChinaZhejiang Academy of Medical Sciences, Hangzhou 310012, ChinaSchool of Public Policy and Management, Tsinghua University, Beijing 100084, ChinaProject Evaluation Center, National Health Commission, Beijing 100044, ChinaGrassroots Public Health Management Group, Public Health Management Branch, Chinese Preventive Medicine Association, Shanghai 201800, ChinaSchool of Public Health and Management, Chongqing Medical University, Chongqing 400016, ChinaSchool of Public Health, Shandong University, Jinan 250012, ChinaAnhui Medical University, Hefei 230032, ChinaShangdong Second Medical University, Jining 272067, ChinaMedical and Health Professional Committee, Central Committee of China Zhi Gong Party, Beijing 100011, ChinaShanghai Municipal Health Supervision Institute, Shanghai 200031, ChinaShanghai Municipal Health Commission, Shanghai 200031, ChinaJiangsu Preventive Medicine Association, Nanjing 210009, ChinaChangzhou Center for Disease Control and Prevention, Changzhou 213003, ChinaResearch Center for Health Development Strategy, Fudan University, Shanghai 200032, ChinaResearch Center for Health Development Strategy, Fudan University, Shanghai 200032, ChinaResearch Center for Health Development Strategy, Fudan University, Shanghai 200032, ChinaObjectiveTo analyze changes in target setting for emergency response to major disease epidemics in China before and after the coronavirus disease 2019 (COVID-19) pandemic, summarize strengths and weaknesses in target setting, and provide a basis for improving target setting for emergency response to major disease epidemics in China. MethodsWe systematically retrieved a total of 3 864 policy documents (including plans, laws and regulations, and work programs) related to the prevention and control of major epidemics issued by government agencies of 31 provincial-level administrative divisions (PLADs) in Chinese mainland from 2000 to 2020. Relevant target content was extracted and the degree of consistency between emergency response targets for major diseases and public demand was calculated (the newly added targets are calculated on a cumulative basis from the precious year, and no value is assigned for duplicates). Paired rank sum tests were used to statistically test for differences in indicators before and after the epidemic. ResultsThe consistency between the overall goal of emergency response to major disease epidemics and public needs in China increased from 79.7% by 2019 (before COVID-19) to 91.3% in by 2020 (after COVID-19), with an increase of 14.6%, and the region-specific consistency increased from 81.2% to 93% for the eastern region and from 78.3% to 90.1% for the western region, with an increase of 14.5% and 15.1%, respectively, and a significant difference between the regions (P < 0.05). National consistency between the primary prevention goal of emergency response to major disease epidemics and public needs increased from 36.9% to 46.4%, with a significant difference between the periods before and after the COVID-19 epidemic (P < 0.05); there were no significant differences between periods in consistency between the secondary and tertiary prevention goals of emergency response to major disease epidemics and public needs at either the national or regional level. ConclusionConsistency between emergency response goals for major disease epidemics and public needs in China has increased, either at the national or regional level, especially for primary prevention goals.https://www.zgggws.com/article/doi/10.11847/zgggws1143672covid-19 epidemicemergency response to major epidemicchanges in target setting
spellingShingle Yushu LI
Peiwu SHI
Qunhong SHEN
Chaoyang ZHANG
Zheng CHEN
Chuan PU
Lingzhong XU
Zhi HU
Anning MA
Zhaohui GONG
Tianqiang XU
Panshi WANG
Hua WANG
Chao HAO
Qingyu ZHOU
Chengyue LI
Mo HAO
Changes in target setting for major epidemic emergency response in China before and after COVID-19 epidemic: an official documents analysis
Zhongguo gonggong weisheng
covid-19 epidemic
emergency response to major epidemic
changes in target setting
title Changes in target setting for major epidemic emergency response in China before and after COVID-19 epidemic: an official documents analysis
title_full Changes in target setting for major epidemic emergency response in China before and after COVID-19 epidemic: an official documents analysis
title_fullStr Changes in target setting for major epidemic emergency response in China before and after COVID-19 epidemic: an official documents analysis
title_full_unstemmed Changes in target setting for major epidemic emergency response in China before and after COVID-19 epidemic: an official documents analysis
title_short Changes in target setting for major epidemic emergency response in China before and after COVID-19 epidemic: an official documents analysis
title_sort changes in target setting for major epidemic emergency response in china before and after covid 19 epidemic an official documents analysis
topic covid-19 epidemic
emergency response to major epidemic
changes in target setting
url https://www.zgggws.com/article/doi/10.11847/zgggws1143672
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