Article(id=1240730055328977276, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1240730050669113883, articleNumber=null, orderNo=null, doi=10.20043/j.cnki.MPM.202501157, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=1736352000000, receivedDateStr=2025-01-09, revisedDate=null, revisedDateStr=null, acceptedDate=null, acceptedDateStr=null, onlineDate=1773742696839, onlineDateStr=2026-03-17, pubDate=1745510400000, pubDateStr=2025-04-25, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1773742696839, onlineIssueDateStr=2026-03-17, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1773742696839, creator=13701087609, updateTime=1773742696839, updator=13701087609, issue=Issue{id=1240730050669113883, tenantId=1146029695717560320, journalId=1227665162245664772, year='2025', volume='52', issue='8', pageStart='1345', pageEnd='1536', issueExtLink='null', onlineDate='null', pubDate='null', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=null, createTime=1773742695728, creator=13701087609, updateTime=1773742807836, updator=13701087609, preIssue=null, nextIssue=null, ext={EN=IssueExt(id=1240730520988995837, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1240730050669113883, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1240730520988995838, tenantId=1146029695717560320, journalId=1227665162245664772, issueId=1240730050669113883, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null}, startPage=1428, endPage=1434, ext={EN=ArticleExt(id=1240730055664521609, articleId=1240730055328977276, tenantId=1146029695717560320, journalId=1227665162245664772, language=EN, title=Current situation of the construction of the integration mechanism of medical treatment and prevention in infectious disease hospitals in China, columnId=1228016567846367388, journalTitle=Modern Preventive Medicine, columnName=Health Policy and Management, runingTitle=null, highlight=null, articleAbstract=
Objective To understand the current situation of the construction of the integration mechanism of medical treatment and prevention in infectious disease hospitals in China, and to provide data support for the promotion of related work and policy formulation.
Methods Based on the survey data of the construction of the integration mechanism of medical treatment and prevention in infectious disease hospitals in China, a quantitative analysis was conducted on the current situation of the related work of the integration of medical treatment and prevention in 97 secondary and tertiary infectious disease hospitals. A difference analysis was carried out on the current situation of the integration of medical treatment and prevention in different regions. Moreover, the t-SNE algorithm and data visualization were used to cluster the sample institutions for a comparative study at the hospital level.
Results Among the sample institutions in the eastern region, 46.51% had policy support related to the integration of medical treatment and prevention at the provincial (municipal) level, with an obvious advantage compared to other regions (P=0.001). The proportions of sample institutions in the eastern and central regions that established internal systems for the integration of medical treatment and prevention were higher (P=0.015), accounting for 27.91% and 28.57% respectively. In terms of the proportion of infectious disease hospitals that independently set up public health departments: the eastern region had the highest proportion, accounting for 72.09%; the northeastern region had the lowest proportion, accounting for 20.00%; and there were significant statistical differences among different regions (P=0.001). The t-SNE algorithm grouped the sample institutions into three categories: head tertiary hospitals, typical secondary hospitals and medium-sized hospitals. The construction of the integration mechanism of medical treatment and prevention in the three hospitals in head tertiary hospitals was significantly better than that in the other two categories.
Conclusion The work on the integration of medical treatment and prevention for infectious diseases in China is still in the stage of exploration and breakthrough. All regions should explore the models and paths for the integration of medical treatment and prevention for infectious diseases in combination with local actual situations. The pilot construction of the integration of medical treatment and prevention of infectious diseases at both the "regional" and "hospital" levels should be coordinated，in order to promote infectious disease hospitals to better fulfill their public health functions, and take this as a breakthrough to open up the effective integration and interconnection of personnel, information and resources between medical institutions and disease control institutions.
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目的 了解我国传染病医院医防融合机制建设的现状，为相关工作的推进和政策制定提供数据支撑。
方法 基于对我国传染病医院医防融合机制建设情况调查数据，量化分析97家二三级传染病医院医防融合相关工作开展现状，对不同地区的医防融合工作现状进行差异性分析，并利用t-SNE算法和数据可视化对样本机构聚类，进行医院层面的对比研究。
结果 东部地区样本机构有46.51%在省（市）层面有医防融合相关政策支持，相比其他地区优势明显（P=0.001）。东部地区和中部地区的样本机构建立医防融合内部制度的比例更高（P=0.015），分别占比27.91%和28.57%。传染病医院独立设置公共卫生科的比例方面：东部地区最高，占比72.09%；东北地区最低，占比20.00%；各地区之间存在显著统计学差异（P=0.001）。t-SNE算法将样本机构聚为头部三级医院、典型二级医院和中等规模医院三类，头部三级医院中的3家医院的医防融合机制建设明显优于其他两类。
结论 总体上看，我国传染病医防融合工作仍处于探索和破局阶段。各地应结合地方实际情况探索传染病医防融合模式和路径，统筹“区域”和“医院”两个层面的传染病医防融合试点建设，推动传染病医院更好的履行其公共卫生职能，以此为突破口打通医疗机构和疾控机构间人员、信息和资源的有效互融互通。
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本刊刊出的所有文章不代表中华预防医学会和本刊编委会的观点，除非特别声明。, copyrightOwner=中华预防医学会和四川大学华西公共卫生学院, extLink=null, articleAbsUrl=null, sourceXml=tRWyC72Tv2lpVUNRn6d/aA==, magXml=nCIaQse90IVoBXAN+FnWtQ==, pdfUrl=null, pdf=IMxWVdeDm53H1s64yXWBpQ==, pdfFileSize=847643, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=CqtPDEzijY2n4opjW4VGQA==, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=eSxUxtW4cMxh+ubP0JOfoA==, mapNumber=null, authorCompany=null, fund=null, authors=
郝一炜（1988—），男，博士，高级统计师，研究方向：生物医学统计、卫生政策研究、抽样调查技术
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41(2): 129-132. (In Chinese), articleTitle=Case study on medicine and prevention integration for infectious diseases based on thematic framework analysis of public hospitals in Zhejiang province, refAbstract=null)], funds=[Fund(id=1241070738690593286, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1240730055328977276, awardId=QML20231806, language=CN, fundingSource=北京市医院管理中心“青苗”计划专项经费(QML20231806), fundOrder=null, country=null), Fund(id=1241070738770285067, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1240730055328977276, awardId=null, language=CN, fundingSource=国家疾病预防控制局传防司2024年委托项目, fundOrder=null, country=null)], companyList=[AuthorCompany(id=1241070733481267496, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1240730055328977276, xref=1., ext=[AuthorCompanyExt(id=1241070733489656103, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1240730055328977276, companyId=1241070733481267496, language=EN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=Beijing Ditan Hospital Capital Medical University, Beijing 100029, China), AuthorCompanyExt(id=1241070733498044712, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1240730055328977276, companyId=1241070733481267496, language=CN, country=null, province=null, city=null, postcode=null, companyName=null, departmentName=null, remark=
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Visualization of the t-SNE algorithm results, figureFileSmall=oh7G59dR3qtkVYQ4uW3FUg==, figureFileBig=x1zWcQGRoEm6m0R6CEYPlA==, tableContent=null), ArticleFig(id=1241070738027893229, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1240730055328977276, language=CN, label=图1, caption=
t-SNE算法结果可视化, figureFileSmall=oh7G59dR3qtkVYQ4uW3FUg==, figureFileBig=x1zWcQGRoEm6m0R6CEYPlA==, tableContent=null), ArticleFig(id=1241070738212442613, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1240730055328977276, language=EN, label=Table 1, caption=
Comparative analysis of regional differences in the construction of the integration mechanism of medical treatment and prevention in infectious disease hospitals[n(%) or M(P25, P75)]
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| 指标 | 地区 | 统计量 | P值 |
|---|
| 东部地区 | 东北地区 | 中部地区 | 西部地区 |
|---|
| 级别 | | | | | - | 0.100 |
| 二级 | 12(27.91) | 12(60.00) | 3(42.86) | 12(44.44) | | |
| 三级 | 31(72.09) | 8(40.00) | 4(57.14) | 15(55.56) | | |
| 床位数（张） | 400（205,951） | 335.5（200,437.5） | 300（92,730） | 400（200,700） | 4.864a | 0.182 |
| 省市政策出台 | | | | | 15.782 | 0.001 |
| 否 | 23(53.49) | 19(95.00) | 7(100.00) | 21(77.78) | | |
| 是 | 20(46.51) | 1(5.00) | 0(0.00) | 6(22.22) | | |
| 内部制度制定 | | | | | - | 0.015 |
| 否 | 31(72.09) | 20(100.00) | 5(71.43) | 24(88.89) | | |
| 是 | 12(27.91) | 0(0.00) | 2(28.57) | 3(11.11) | | |
| 独立公共卫生科 | | | | | - | 0.001 |
| 否 | 12(27.91) | 16(80.00) | 3(42.86) | 11(40.74) | | |
| 是 | 31(72.09) | 4(20.00) | 4(57.14) | 16(59.26) | | |
| 人员交叉机制 | | | | | - | 0.799 |
| 否 | 12(27.91) | 5(25.00) | 3(42.86) | 9(33.33) | | |
| 是 | 31(72.09) | 15(75.00) | 4(57.14) | 18(66.67) | | |
| 与疾控机构资源共享 | | | | | - | 0.328 |
| 否 | 16(37.21) | 12(60.00) | 2(28.57) | 12(44.44) | | |
| 是 | 27(62.79) | 8(40.00) | 5(71.43) | 15(55.56) | | |
| 与疾控机构信息衔接 | | | | | - | 0.574 |
| 无衔接 | 19(44.19) | 10(50.00) | 3(42.86) | 7(25.93) | | |
| 部分衔接 | 18(41.86) | 8(40.00) | 4(57.14) | 17(62.96) | | |
| 全部衔接 | 6(13.95) | 2(10.00) | 0(0.00) | 3(11.11) | | |
), ArticleFig(id=1241070738317300213, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1240730055328977276, language=CN, label=表1, caption=
传染病医院医防融合机制建设的地区差异对比分析[n(%)或M(P25, P75)]
, figureFileSmall=null, figureFileBig=null, tableContent=
| 指标 | 地区 | 统计量 | P值 |
|---|
| 东部地区 | 东北地区 | 中部地区 | 西部地区 |
|---|
| 级别 | | | | | - | 0.100 |
| 二级 | 12(27.91) | 12(60.00) | 3(42.86) | 12(44.44) | | |
| 三级 | 31(72.09) | 8(40.00) | 4(57.14) | 15(55.56) | | |
| 床位数（张） | 400（205,951） | 335.5（200,437.5） | 300（92,730） | 400（200,700） | 4.864a | 0.182 |
| 省市政策出台 | | | | | 15.782 | 0.001 |
| 否 | 23(53.49) | 19(95.00) | 7(100.00) | 21(77.78) | | |
| 是 | 20(46.51) | 1(5.00) | 0(0.00) | 6(22.22) | | |
| 内部制度制定 | | | | | - | 0.015 |
| 否 | 31(72.09) | 20(100.00) | 5(71.43) | 24(88.89) | | |
| 是 | 12(27.91) | 0(0.00) | 2(28.57) | 3(11.11) | | |
| 独立公共卫生科 | | | | | - | 0.001 |
| 否 | 12(27.91) | 16(80.00) | 3(42.86) | 11(40.74) | | |
| 是 | 31(72.09) | 4(20.00) | 4(57.14) | 16(59.26) | | |
| 人员交叉机制 | | | | | - | 0.799 |
| 否 | 12(27.91) | 5(25.00) | 3(42.86) | 9(33.33) | | |
| 是 | 31(72.09) | 15(75.00) | 4(57.14) | 18(66.67) | | |
| 与疾控机构资源共享 | | | | | - | 0.328 |
| 否 | 16(37.21) | 12(60.00) | 2(28.57) | 12(44.44) | | |
| 是 | 27(62.79) | 8(40.00) | 5(71.43) | 15(55.56) | | |
| 与疾控机构信息衔接 | | | | | - | 0.574 |
| 无衔接 | 19(44.19) | 10(50.00) | 3(42.86) | 7(25.93) | | |
| 部分衔接 | 18(41.86) | 8(40.00) | 4(57.14) | 17(62.96) | | |
| 全部衔接 | 6(13.95) | 2(10.00) | 0(0.00) | 3(11.11) | | |
), ArticleFig(id=1241070738396991992, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1240730055328977276, language=EN, label=Table 2, caption=
Comparative analysis of the differences in the construction of the integration mechanism of medical treatment and prevention in hospitals of different cluster categories[n(%) or M(P25, P75)]
, figureFileSmall=null, figureFileBig=null, tableContent=
| 指标 | t-SNE聚类 | 统计量/两两比较 | P值/两两比较 |
|---|
| 头部三级医院 | 典型二级医院 | 中等规模医院 |
|---|
| 级别 | | | | -/89.954 | <0.001/<0.001 |
| 二级 | 0(0) | 38(100) | 1(1.79) | | |
| 三级 | 3(100) | 0(0) | 55(98.21) | | |
| 床位数（张） | 2 059(2 000,2 237.5) | 200(133.25,300) | 550.50(377.25,788.75) | 47.066a/234.00# | <0.001/<0.001 |
| 省市政策出台 | | | | -/1.696 | 0.013/0.233 |
| 否 | 0(0) | 31(81.58) | 39(69.64) | | |
| 是 | 3(100) | 7(18.42) | 17(30.36) | | |
| 内部制度制定 | | | | -/2.465 | 0.001/0.116 |
| 否 | 0(0) | 35(92.11) | 45(80.36) | | |
| 是 | 3(100) | 3(7.89) | 11(19.64) | | |
| 独立公共卫生科 | | | | - | 0.435 |
| 否 | 0(0) | 17(44.74) | 25(44.64) | | |
| 是 | 3(100) | 21(55.26) | 31(55.36) | | |
| 人员交叉机制 | | | | - | 0.412 |
| 否 | 0(0) | 14(36.84) | 15(26.79) | | |
| 是 | 3(100) | 24(63.16) | 41(73.21) | | |
| 与疾控机构资源共享 | | | | - | 0.197 |
| 否 | 0(0) | 14(36.84) | 28(50) | | |
| 是 | 3(100) | 24(63.16) | 28(50) | | |
| 与疾控机构信息衔接 | | | | -/4.261 | 0.021/0.119 |
| 无衔接 | 0(0) | 12(31.58) | 27(48.21) | | |
| 部分衔接 | 1(33.33) | 20(52.63) | 26(46.43) | | |
| 全部衔接 | 2(66.67) | 6(15.79) | 3(5.36) | | |
), ArticleFig(id=1241070738506043900, tenantId=1146029695717560320, journalId=1227665162245664772, articleId=1240730055328977276, language=CN, label=表2, caption=
不同聚类类别医院医防融合机制建设的差异对比分析[n(%) 或M(P25, P75)]
, figureFileSmall=null, figureFileBig=null, tableContent=
| 指标 | t-SNE聚类 | 统计量/两两比较 | P值/两两比较 |
|---|
| 头部三级医院 | 典型二级医院 | 中等规模医院 |
|---|
| 级别 | | | | -/89.954 | <0.001/<0.001 |
| 二级 | 0(0) | 38(100) | 1(1.79) | | |
| 三级 | 3(100) | 0(0) | 55(98.21) | | |
| 床位数（张） | 2 059(2 000,2 237.5) | 200(133.25,300) | 550.50(377.25,788.75) | 47.066a/234.00# | <0.001/<0.001 |
| 省市政策出台 | | | | -/1.696 | 0.013/0.233 |
| 否 | 0(0) | 31(81.58) | 39(69.64) | | |
| 是 | 3(100) | 7(18.42) | 17(30.36) | | |
| 内部制度制定 | | | | -/2.465 | 0.001/0.116 |
| 否 | 0(0) | 35(92.11) | 45(80.36) | | |
| 是 | 3(100) | 3(7.89) | 11(19.64) | | |
| 独立公共卫生科 | | | | - | 0.435 |
| 否 | 0(0) | 17(44.74) | 25(44.64) | | |
| 是 | 3(100) | 21(55.26) | 31(55.36) | | |
| 人员交叉机制 | | | | - | 0.412 |
| 否 | 0(0) | 14(36.84) | 15(26.79) | | |
| 是 | 3(100) | 24(63.16) | 41(73.21) | | |
| 与疾控机构资源共享 | | | | - | 0.197 |
| 否 | 0(0) | 14(36.84) | 28(50) | | |
| 是 | 3(100) | 24(63.16) | 28(50) | | |
| 与疾控机构信息衔接 | | | | -/4.261 | 0.021/0.119 |
| 无衔接 | 0(0) | 12(31.58) | 27(48.21) | | |
| 部分衔接 | 1(33.33) | 20(52.63) | 26(46.43) | | |
| 全部衔接 | 2(66.67) | 6(15.79) | 3(5.36) | | |
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