Frontiers in Public Health (Mar 2022)
Influence of Public Health Services on the Goal of Ending Tuberculosis: Evidence From Panel Data in China
- Yang Chen,
- Yang Chen,
- Yang Chen,
- Qingyu Zhou,
- Qingyu Zhou,
- Qingyu Zhou,
- Xinmei Yang,
- Xinmei Yang,
- Xinmei Yang,
- Peiwu Shi,
- Peiwu Shi,
- Qunhong Shen,
- Qunhong Shen,
- Zhaoyang Zhang,
- Zhaoyang Zhang,
- Zheng Chen,
- Zheng Chen,
- Chuan Pu,
- Chuan Pu,
- Lingzhong Xu,
- Lingzhong Xu,
- Zhi Hu,
- Zhi Hu,
- Anning Ma,
- Anning Ma,
- Zhaohui Gong,
- Zhaohui Gong,
- Tianqiang Xu,
- Tianqiang Xu,
- Panshi Wang,
- Panshi Wang,
- Hua Wang,
- Hua Wang,
- Chao Hao,
- Chao Hao,
- Chengyue Li,
- Chengyue Li,
- Chengyue Li,
- Mo Hao,
- Mo Hao,
- Mo Hao
Affiliations
- Yang Chen
- Research Institute of Health Development Strategies, Fudan University, Shanghai, China
- Yang Chen
- Collaborative Innovation Center of Social Risks Governance in Health, Fudan University, Shanghai, China
- Yang Chen
- Department of Health Policy and Management, School of Public Health, Fudan University, Shanghai, China
- Qingyu Zhou
- Research Institute of Health Development Strategies, Fudan University, Shanghai, China
- Qingyu Zhou
- Collaborative Innovation Center of Social Risks Governance in Health, Fudan University, Shanghai, China
- Qingyu Zhou
- Department of Health Policy and Management, School of Public Health, Fudan University, Shanghai, China
- Xinmei Yang
- Research Institute of Health Development Strategies, Fudan University, Shanghai, China
- Xinmei Yang
- Collaborative Innovation Center of Social Risks Governance in Health, Fudan University, Shanghai, China
- Xinmei Yang
- Department of Health Policy and Management, School of Public Health, Fudan University, Shanghai, China
- Peiwu Shi
- Collaborative Innovation Center of Social Risks Governance in Health, Fudan University, Shanghai, China
- Peiwu Shi
- Zhejiang Academy of Medical Sciences, Hangzhou, China
- Qunhong Shen
- Collaborative Innovation Center of Social Risks Governance in Health, Fudan University, Shanghai, China
- Qunhong Shen
- School of Public Policy and Management, Tsinghua University, Beijing, China
- Zhaoyang Zhang
- Collaborative Innovation Center of Social Risks Governance in Health, Fudan University, Shanghai, China
- Zhaoyang Zhang
- Project Supervision Center of National Health Commission of the People's Republic of China, Beijing, China
- Zheng Chen
- Collaborative Innovation Center of Social Risks Governance in Health, Fudan University, Shanghai, China
- Zheng Chen
- Department of Grassroots Public Health Management Group, Public Health Management Branch of Chinese Preventive Medicine Association, Shanghai, China
- Chuan Pu
- Collaborative Innovation Center of Social Risks Governance in Health, Fudan University, Shanghai, China
- Chuan Pu
- School of Public Health and Management, Chongqing Medical University, Chongqing, China
- Lingzhong Xu
- Collaborative Innovation Center of Social Risks Governance in Health, Fudan University, Shanghai, China
- Lingzhong Xu
- School of Public Health, Shandong University, Jinan, China
- Zhi Hu
- Collaborative Innovation Center of Social Risks Governance in Health, Fudan University, Shanghai, China
- Zhi Hu
- 0School of Health Service Management, Anhui Medical University, Hefei, China
- Anning Ma
- Collaborative Innovation Center of Social Risks Governance in Health, Fudan University, Shanghai, China
- Anning Ma
- 1School of Management, Weifang Medical University, Weifang, China
- Zhaohui Gong
- Collaborative Innovation Center of Social Risks Governance in Health, Fudan University, Shanghai, China
- Zhaohui Gong
- 2Committee on Medicine and Health of Central Committee of China Zhi Gong Party, Beijing, China
- Tianqiang Xu
- Collaborative Innovation Center of Social Risks Governance in Health, Fudan University, Shanghai, China
- Tianqiang Xu
- 3Institute of Inspection and Supervision, Shanghai Municipal Health Commission, Shanghai, China
- Panshi Wang
- Collaborative Innovation Center of Social Risks Governance in Health, Fudan University, Shanghai, China
- Panshi Wang
- 4Shanghai Municipal Health Commission, Shanghai, China
- Hua Wang
- Collaborative Innovation Center of Social Risks Governance in Health, Fudan University, Shanghai, China
- Hua Wang
- 5Jiangsu Preventive Medicine Association, Nanjing, China
- Chao Hao
- Collaborative Innovation Center of Social Risks Governance in Health, Fudan University, Shanghai, China
- Chao Hao
- 6Changzhou Center for Disease Control and Prevention, Changzhou, China
- Chengyue Li
- Research Institute of Health Development Strategies, Fudan University, Shanghai, China
- Chengyue Li
- Collaborative Innovation Center of Social Risks Governance in Health, Fudan University, Shanghai, China
- Chengyue Li
- Department of Health Policy and Management, School of Public Health, Fudan University, Shanghai, China
- Mo Hao
- Research Institute of Health Development Strategies, Fudan University, Shanghai, China
- Mo Hao
- Collaborative Innovation Center of Social Risks Governance in Health, Fudan University, Shanghai, China
- Mo Hao
- Department of Health Policy and Management, School of Public Health, Fudan University, Shanghai, China
- DOI
- https://doi.org/10.3389/fpubh.2022.826800
- Journal volume & issue
-
Vol. 10
Abstract
BackgroundThe World Health Organization has proposed an initiative to “end tuberculosis (TB).” Unfortunately, TB continues to endanger the health of people worldwide. We investigated the impact of public health services (PHS) in China on TB incidence. In this way, we provided policy ideas for preventing the TB epidemic.MethodsWe used the “New Public Management Theory” to develop two indicators to quantify policy documents: multisector participation (MP) and the Assessable Public Health Service Coverage Rate (ASCR). The panel data from 31 provinces in Chinese mainland were collected from 2005 to 2019 based on 1,129 policy documents and the China Statistical Yearbook. A fixed-effect model was used to determine the impact of MP and the ASCR on TB incidence.ResultsFrom 2005 to 2019, the average MP increased from 89.25 to 97.70%, and the average ASCR increased from 53.97 to 78.40% in Chinese mainland. However, the development of ASCR between regions was not balanced, and the average level in the western region was lower than that in the eastern coastal provinces. With an increase in MP and the ASCR, the TB incidence had been decreasing gradually in recent years. The panel analysis results showed that MP (β = −0.76, p < 0.05). and ASCR (β = −0.40, p < 0.01) had a negative effect on TB incidence, respectively. Even if the control variables were added, the negative effects of MP (β = −0.86, p < 0.05) and ASCR (β = −0.35, p < 0.01) were still statistically significant.ConclusionsPromoting the participation of multiple departments, as well as emphasizing the quality of PHS delivery, are important ways to alleviate the TB epidemic. The settings of evaluation indices for PHS provision should be strengthened in the future.
Keywords
