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| Evaluation of public health development in Zhejiang Province during China's 12th Five-Year Plan period |
| GAO Yi, ZHANG Li, CHEN Da, HUANG Zen-xiang, ZHANG Xin-wei
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| Office of Public Health Practice Commission of Zhejiang Province,Hangzhou,Zhejiang 310009,China |
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Abstract Objective To evaluate the development level of public health in Zhejiang Province during China's 12th Five-Year Plan period （from 2011 to 2015） for health policy making in the future. Methods Totally 30 indexes were first summarized into 4 components,including the residents' health level,the allocation of public health resource,the level of public health service and public health security. The evaluation index system was developed by Delphi method. The indicators of 2010 were selected as the baseline for comparison with those corresponding indicators from 2011 to 2015. Each index（the comprehensive development index,the developmental speed,as well as the indicator index）calculated during 12th Five-Year Plan period was evaluated after the targeted indicators were weighed. Results Overall,at a provincial level of Zhejiang,the comprehensive development index was increased from 100 in 2010 to 138.44 in 2015,representing an annual average development speed of 6.72%. The annual average development speed of 13 indexes,ranging from 6.72% to 26.18%,were higher than those in the China's 11th Five-Year Plan period（6.72%）;while the annual average development speed of another 17 indexes was lower,with 1 index below zero. However,the number of medical staff per 10000 population（5.23）,the treatment success rate among new smear-positive cases （90.76%）and the number of annual outpatient visits in primary hospitals（49.45%）in Zhejiang Province were lower than those in China during the same period（6.39,92.49%,56.40%）. At a prefectural level,the comprehensive development index fluctuated from 128.65 in Quzhou to 156.35 in Jiaxing and the developmental speed was from 3.90% to 11.26%. These results indicated that the coefficient variant（CV）was 5.76 during China's 12 th Five-year Plan period,which had recorded the historically lowest level since 2010. Conclusion During the China's 12th Five-year Plan period,the development of public health in Zhejiang Province was steadily enhanced. Public health variably developed across 11 prefectures with shrinking gaps. Nevertheless,the number of medical staff per 10 000 population,the treatment success rate among new smear-positive cases and the number of annual outpatient visits in primary hospitals should be improved.
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Received: 11 July 2017
Revised: 25 September 2017
Published: 04 January 2018
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