中山市镇级疾病预防控制中心能力建设现状分析  

Status of capacity building of centers for disease control and prevention at township level in Zhongshan

作　　者：谈晔[1] 张瀚中[1] 李映来[1] 黄莉莉[1] 陈语嫣 王博远[1] TAN Ye;ZHANG Han-zhong;LI Ying-lai;HUANG Li-li;CHEN Yu-yan;WANG Bo-yuan(Center for Disease Control and Prevention of Zhongshan,Zhongshan 528403,China)

机构地区：[1]中山市疾病预防控制中心

出　　处：《华南预防医学》2019年第6期522-524,555,共4页South China Journal of Preventive Medicine

基　　金：2016年度中山市社会公益科技研究项目重大项目（2016B1011）

摘　　要：目的研究中山市镇级疾病预防控制中心(疾控中心)能力建设现状,分析主要问题并提出对策和建议。方法分别对中山市2015和2018疾病预防控制工作能力现状进行调查,采用描述流行病学分析方法进行分析。结果 2018年中山市共设立24个镇级疾控中心,机构设置与管理模式多样,54.2%的机构均涉及8项及以上疾控职能,业务用房面积较2015年增长135.57%,24个镇均设置了至少1个预防接种门诊,2018年在编人员338人,较2015年355人有所减少,本科及以上学历人员构成比由54.4%增至58.2%,中级及以上职称人员构成比由4.4%增至27.7%,工作年限小于5年的人员构成比由17.2%增至29.9%。2018年现有公卫医师231名。41.7%(10/24)的镇(区)每万人口配备公卫医师人数为1.0~1.2人,41.7%(10/24)为0.5~0.9人,16.7%(4/24)小于0.5人。传染病防控评分2018年高于2015年,免疫规范管理评分2018年低于2015年,差异均有意义(P<0.05或P<0.01)。结论中山市镇级疾控中心能力发展不平衡,建议通过强化政府投入的主体责任、推动区域疾控中心的实体化建设、建立合理的薪酬长效机制、启动人才培养项目等措施提升能力。Objective To explore the current situation of capacity building of centers for disease control and prevention(CDCP)at township level in Zhongshan City and find out main problems,so as to provide reference for making policy.Method The current status of disease prevention and control capabilities in Zhongshan City in 2015 and 2018 was investigated,and the results were analyze using descriptive epidemiological analysis methods.ResultTwenty-four CDCP at township-level were set up with diverse institutional settings and management models in Zhongshan City in 2018. Of the centers,54.2% involved 8 or more disease control functions. The business room area increased by 135.57% compared with 2015. At least one vaccination clinic has been set up in each of towns. There were 338 staff members in 2018,a decrease from 355 in 2015. The proportion of staff with a bachelor’s degree or above increased from 54.4% to 58.2%,the proportion of staff with an intermediate title or above increased from 4.4% to 27.7%,and the proportion of personnel with less than 5 years of service increased from 17.2% to 29.9%. There were 231 public health doctors in 2018. Of the 24 towns(districts),10(41.7%)were equipped with 1.0-1.2 public health doctors per 10,000 population,10(41.7%)with 0.5-0.9,and 4(16.7%)with less than 0.5. The score of prevention and control for infectious diseases in 2018 were higher than those in 2015,and the scores of standardized management of immunization in 2018 were lower than those in 2015(P<0.05 or P<0.01).Conclusion The capacity building of the township-level CDCP is unbalanced in Zhongshan City. It is suggested that measures of strengthing the responsibility of government input,promoting the substantiation construction of the local CDCP,establishing equitable long-term salary mechanism,personnel training project and other measures should be taken to improve the capacity building.

关 键 词：疾病预防控制中心 能力建设 预防控制 公共卫生 

分 类 号：R195[医药卫生—卫生统计学]