疾病预防控制机构传染病流行病学能力评价研究  

An assessment of epidemiological capacity of infectious disease in institutions of disease control and prevention

作　　者：程伟[1] 王笑笑[1] 刘社兰[1] 余昭[1] 陈恩富[1] 蔡剑[1] 林君芬[1] 何凡[1] 柴程良[1] 

机构地区：[1]浙江省疾病预防控制中心,浙江杭州310051

出　　处：《预防医学》2016年第9期887-890,895,共5页CHINA PREVENTIVE MEDICINE JOURNAL

基　　金：浙江省科技厅软科学研究(2014C35066)

摘　　要：目的了解疾病预防控制机构传染病流行病学能力,为提高传染病防控水平提供依据。方法参照美国公共卫生机构的流行病学能力评价工具,设计《疾病预防控制机构传染病流行病学能力调查表》,调查2015年浙江省宁波市、绍兴市、衢州市25家市、县级疾病预防控制机构(疾控机构)的传染病流行病学能力,采用描述性流行病学方法分析和评价。结果 25家疾控机构的法定传染病监测能力达到良好的为19家(76.00%),非法定传染病监测能力达到良好的为2家(8.00%)。24家(96.00%)疾控机构认为人力不足为限制机构传染病流行病学能力的最主要因素;20家(80.00%)疾控机构传染病流行病学人员在学术期刊上发表文章的能力达到良好,但科研能力达到良好的仅为3家(12.00%);培训下级机构能力达到良好的仅为10家(40.00%),且有2家(8.00%)为差。不同市、县级疾控机构仅在非法定传染病监测能力方面差异有统计学意义(P=0.03)。结论疾控机构整体具备较好的传染病流行病学能力,但在非法定传染病监测、科研和培训下级机构等方面的能力有待提高和加强。Objective To evaluate epidemiological capacity of infectious disease in institutions of disease control andprevention, and to improve the ability of infectious disease control and prevention. Methods Questionnaires of epidemiological capacity of infectious disease evaluation in institutions of disease control and prevention which contained surveillance analysis, emergency response, plan system and so on were used to evaluate epidemiological capacity of infectious disease in all of city, district or county level of center for disease control and prevention in Ningbo, Shaoxing, Quzhou. The degree of attainment for the ability or （and） resources was divided into vary bad, bad, average, and good. Descriptive epidemiological methods were used to perform analysis and evaluation. Results The capability for monitoring notifiable infectious diseases reaching to good was 19 （76.00%）,greater than that in non - statutory communicable diseases 2（8.00% ）. Twenty four （ 96.00% ） institutions reported that the most important factor limiting the epidemiological capacity of infectious disease was lack of human resources, and 20 （ 80. 00% ） of institutions supported infectious disease epidemiology staff to publish articles in academic journals, but scientific research ability reaching to good was 3（12. 00% ）. Training subordinate institution capacity reaching to good was 10（40. 00% ） ,with 2 （8. 00% ） reporting very bad. Most abilities were not significant across different regions, only significant in non - statutory communicable diseases surveillance （^2 = 7.04, P = 0. 03 ） . Conclusion Institutions of disease control and prevention had a certain epidemiological capacity of infectious disease, and almost balance in different regions. For further enhancing the ability, it is necessary to increase the number of personnel, and to improve the ability of education and training.

关 键 词：疾病预防控制机构 传染病 流行病学能力 评价 

分 类 号：R197.2[医药卫生—卫生事业管理]