2020年我国664个区/县疾病预防控制中心慢性病防控人力资源配置情况分析  

Analysis on the allocation of human resources for chronic disease prevention and control in 664 district/county-level centers for disease control and prevention in China in 2020

作　　者：宜准 徐婷玲 李寒 钱晶 杨静[1] 董文兰[1] Yi Zhun;Xu Tingling;Li Han;Qian Jing;Yang Jing;Dong Wenlan(National Center for Chronic and Non-communicable Disease Control and Prevention,Chinese Center for Disease Control and Prevention,Beijing 100050,China;School of Health Management,China Medical University,Shenyang 110122,China)

机构地区：[1]中国疾病预防控制中心慢性非传染性疾病预防控制中心,北京100050 [2]中国医科大学健康管理学院,沈阳110122

出　　处：《中华预防医学杂志》2023年第1期15-21,共7页Chinese Journal of Preventive Medicine

基　　金：国家重点研发计划项目(2018YFC1315304)。

摘　　要：目的分析2020年我国区/县疾病预防控制中心(简称“疾控机构”)慢性病防控人力资源配置情况。方法选取中国慢性病及危险因素监测点和国家慢性病综合防控示范区(简称“示范区”)作为调查对象,于2021年12月通过国家示范区管理信息系统开展2020年区/县慢性病防控资源配置情况调查,分析疾控机构慢性病防控人力资源配置数量和配置率,采用Wilcoxon秩和检验比较示范区与非示范区、城乡间差异;采用Kruskal-Wallis H检验比较东、中和西部不同区域间差异;采用基尼系数和泰尔指数评价配置的均衡性。结果共调查678个区/县,664个区/县完成有效应答,有效应答率97.9%,其中区/县疾控机构的设置率为98.34%(653/664),区/县疾控机构慢性病防控科室的设置率为96.02%(627/653)。627个设置慢性病防控科室的区/县疾控机构,慢性病防控专职技术人员配置的中位数为4人,其中示范区(4人)高于非示范区(3人),东部(5人)高于中部(4人)和西部(4人),城市(4人)高于农村(4人),差异均有统计学意义(均P<0.05);配置率为0.71人/10万,其中示范区(0.73人/10万)高于非示范区(0.67人/10万),西部(0.82人/10万)高于中部(0.71人/10万)和东部(0.67人/10万),农村(0.77人/10万)高于城市(0.68人/10万),差异均有统计学意义(均P<0.05);按人口规模配置的基尼系数为0.3529;示范区与非示范区,东、中和西部不同区域,城乡的总泰尔指数分别为0.0678、0.0763和0.0002,组内贡献分别达97.35%、99.52%和98.80%。结论2020年我国区/县疾控机构慢性病防控人力资源配置相对均衡,配置数量仍存在示范区与非示范区、城乡、区域差异。Objective To analyze the allocation of human resources for chronic disease prevention and control of district/county-level centers for disease control and prevention(CDC)in China in 2020.Methods Survey subjects were from National Chronic Noncommunicable Disease and Risk Factor Surveillance Sites and National Demonstration Areas for Chronic Noncommunicable Disease Prevention and Control(demonstration areas).A survey examining the allocation of human resources for chronic disease prevention and control at district/county-level CDC was conducted in December 2021 through the National Demonstration Areas Management Information System.The number and rate of allocation of human resources for chronic disease prevention and control in district/county-level CDC were analyzed and the Wilcoxon rank sum test was used to compare the difference between demonstration and non-demonstration areas and between urban and rural areas.The Kruskal-Wallis H test was used to compare the difference in east,central and west regions.The Gini coefficient and Theil index were used to evaluate the balance of human resource for chronic disease prevention and control.Results A total of 678 districts/counties were investigated,and 664 districts/counties responded effectively,with an effective response rate of 97.9%.The establishment rate of district/county-level CDC was 98.34%(653/664),and the establishment rate of chronic disease prevention and control departments of district/county-level CDC was 96.02%(627/653).In 627 district/county-level CDC with departments for chronic disease prevention and control,the median number of full-time technical personnel for chronic disease prevention and control was 4,the median number of full-time technical personnel in demonstration areas(4 persons)was higher than in non-demonstration areas(3 persons),highest in the east region(5 persons)than in the middle region(4 persons)and the west region(4 persons),higher in urban areas(4 persons)than in rural areas(4 persons)(all P values<0.05).The allocation rate was 0.7

关 键 词：慢性病 预防与控制 人力资源 资源配置 监测 

分 类 号：R197.21[医药卫生—卫生事业管理]