中国地方卫生健康标准化中资源配置均衡性分析  

Equilibrium of resource allocation in local health standardization in China:a cross-sectional survey among provincial level CDCs

作　　者：姜易晨 杨彦清 王壮壮 刘俊江 黄宇 王玥璇 胥欣[2] 雷苏文[3] 李京[1] JIANG Yi-chen;YANG Yan-qing;WANG Zhuang-zhuang(School of Public Health,Weifang Medical University,Weifang,Shandong Province 261053,China;不详)

机构地区：[1]潍坊医学院公共卫生学院,山东潍坊261053 [2]潍坊医学院附属医院口腔科 [3]中国疾病预防控制中心卫生标准处

出　　处：《中国公共卫生》2022年第6期730-733,共4页Chinese Journal of Public Health

基　　金：山东省重点研发计划项目(2019GSF111067);全国医学专业学位研究生教育指导委员会(中国学位与研究生教育学会医学专业工作委员会)立项项目(C-YX20190301-04);中国疾病预防控制中心2019年科研项目(JY18-2-42);中国疾病预防控制中心2020年度卫生健康标准评估项目(20270418)。

摘　　要：目的通过调查了解中国地方卫生健康标准化中资源配置现状、存在问题及其可能的影响因素,为推进中国卫生健康标准化建设和推动构建国家和省级联动的卫生健康标准化技术支持体系提供数据支持和政策建议。方法本研究采用定性和定量研究相结合的方法,在2019年5—10月通过对我国31个省、自治区、直辖市的疾病预防控制中心(以下简称疾控中心)及5个副省级市的疾控中心人员进行访谈以及问卷调查的形式收集数据,通过Excel进行数据分析。结果共调查36个疾控中心,人力资源方面,仅4个疾控中心设有卫生健康标准管理专职人员,26个疾控中心有专家入选国家卫生标准专业委员会,以江苏省、北京市入选人数为最多,11个单位有专家入选地方卫生标准专业委员会;地方卫生健康标准化人才相对缺乏,且不同地区间分布不均衡。财力资源方面,仅6个单位有卫生健康标准专项工作管理经费或预算,8个单位有地方卫生健康标准的经费支持,17个疾控中心在2018年全年内获得了标准经费项目,江苏省获得项目最多;标准化工作经费相对不足,且地方卫生健康标准化的经费水平与地方经济发展水平密切相关。结论目前我国地方卫生健康标准在多个方面存在资源配置不均衡现象,发达地区资源丰富,欠发达地区资源相对匮乏,应从国家层面进行调控,采取相应政策,推进我国卫生健康标准化体系的建设。Objective To investigate the status quo and associates of resource allocation in local health standardization and to provide evidences for promoting the construction of health standardization and the establishment of relevant technical support system with national and provincial coordination in China.Methods On-site interview and questionnaire survey were conducted among professionals and staff in 31 Centers for Disease Control and Prevention(CDCs)at provincial level and 5 CDCs at sub-provincial level across China during May-October,2019.The collected data and information were processed and analyzed qualitatively and quantitatively with Excel 2010.Results Of the CDCs surveyed,only 4 employed full-time personnel for health standards management;26 and 11 had senior professionals being selected as members of the National Health Standards Professional Committee and Local Professional Committees on Health Standards;and CDCs of Jiangsu province and Beijing municipality had more senior professionals being selected as members of the national committee.There were relative lack and allocation disequilibrium of senior professionals for local health standardization.In terms of financial resources,only 6 CDCs were supported with special funds or budgets for health standardization management and 8 CDCs had financial support for local health standardization management;in 2018,17 CDCs obtained funds for research projects on health standardization and the CDC of Jiangsu province was involved in more projects with the funds;the funds for local health standardization research was relatively insufficient,and the fund amount was closely related to regional economic development.Conclusion In China,the resource allocation in local health standardization is imbalanced;more resources are allocated in economically developed regions but less in underdeveloped regions,suggesting that specific policies should be made to improve the situation nationwide.

关 键 词：地方卫生健康标准化 资源配置 均衡 

分 类 号：R194[医药卫生—卫生事业管理]