我国疾病预防控制中心单位性质改革方案的结构化决策分析  

Using structured decision-making to identify the appropriate type of entity for the centers for disease control and prevention of China

作　　者：张倩[1] 曹曼 樊子暄 相林 张娟[3] Zhang Qian;Cao Man;Fan Zixuan;Xiang Lin;Zhang Juan(National Immunization Program,Chinese Center for Disease Control and Prevention,Beijing 100050,China;School of Health Policy and Management,Peking Union Medical College,Chinese Academy of Medical Sciences,Beijing 100730,China;School of Population Medicine and Public Health,Peking Union Medical College,Chinese Academy of Medical Sciences,Beijing 100730,China)

机构地区：[1]中国疾病预防控制中心免疫规划中心,北京100050 [2]中国医学科学院北京协和医学院群医学及公共卫生学院,100730 [3]中国医学科学院北京协和医学院卫生健康管理政策学院,100730

出　　处：《中华预防医学杂志》2020年第11期1243-1248,共6页Chinese Journal of Preventive Medicine

基　　金：中央高校基本科研业务费专项资金资助(3332019010)。

摘　　要：目的提出基于证据的疾病预防控制中心单位性质改革的决策建议,完善现有疾病预防控制体制。方法本研究系统梳理疾病预防控制中心应承担的职能,采用结构化决策分析框架,从保障职能实现的角度,提出疾病预防控制中心单位性质改革的3种备选方案及15个评价指标,并梳理其利弊;编制意向收集表,于2020年4月10至20日面向47位专家代表收集信息,通过定性和定量结合的方法,从备选方案中识别最佳决策。结果47位专家代表对备选方案进行排序赋分。根据相应权重汇总得分,结果显示方案1(专业技术类公务员性质的机构)得分最高(58.22分)。结论将疾病预防控制中心改革为专业技术类公务员性质的机构为最佳决策。Objective To develop evidence-based appropriate type of entity for the Centers for Disease Control and Prevention in order to improve the performance of disease control and prevention system in China.Methods This study firstly proposed the core functions and essential public health programs for the Centers for Disease Control and Prevention.Using Structured Decision-Making,this study presented three alternative options for type of entity to make essential public health programs succeed,and reviewed the pros and cons of alternative options based on 15 evaluation indicators.Questionnaires were distributed to 47 stakeholders between April 10 and April 20 of 2020.Finally,an appropriate type of entity for the Centers for Disease Control and Prevention was identified by using both qualitative and quantitative methods.Results A total of 47 stakeholders ranked alternative options.Aggregated scores of each alternative option was computed after weighting each indicators.The results shows that Option 1(professional technical civil service organization)has the highest score(58.22).Conclusion Professional technical civil service organization is appropriate type of entity for Centers for Disease Control and Prevention.

关 键 词：疾病预防控制中心 单位性质 结构化决策分析 疾病预防控制体制改革 

分 类 号：R197.21[医药卫生—卫生事业管理]