摘要
目的调查分析北京市各区进行疾控机构标准化建设前后的变化情况,发现短板和不足,为进一步推动标准化建设,提升疾控机构能力提供依据。方法利用问卷调查北京市16家区级疾控中心2019—2021年人员编制、实验室仪器设备配置、基础设施建设、信息化建设等情况。通过纵向比较,分析各机构标准化建设进展;通过与目标值比较,分析各机构存在的差距。纵向比较采用定基比、环比表示,与目标值的比较用百分比表示。应用SPSS 20.0统计软件,分别利用多元线性回归和二元Logistic回归进行多因素分析。结果2019—2021年,7区疾控机构人员编制数增加,15区实验室仪器设备配置达标率均有不同程度提高。截至2021年底,9区(56.25%)每万常住人口核定疾控人员编制数未达到1.75名,8区(50%)人均建筑面积不足65 m^(2),10区(62.5%)实验室面积占比不足40%,与医疗机构5区实现传染病报告数据交换、2区实现慢性病相关数据交换、3区实现健康危害因素相关疾病数据交换,2区实现与区域居民电子健康档案交互共享,1区实现与区域居民电子病例交互共享,各区均未实现与区域人口库交互共享。人均GDP(t=6.60,P=0.00)、常住人口数(t=-4.25,P=0.00)对每万常住人口核定疾控人员编制数有影响。生产总值(t=3.61,P=0.00)、常住人口数(t=-2.18,P=0.04)、人员编制数(t=-2.61,P=0.01)对人均建筑面积有影响。结论北京市疾控机构标准化建设取得了一定进展,但是整体发展水平不适应北京市实际需要,需进一步完善标准化建设内涵,持续推进标准化建设工作。
Objective To investigate and analyze the changes before and after the standardization construction of CDC in each district of Beijing,and to find out the shortcomings,so as to provide basis for further promoting the standardization construction and enhancing the capacity of CDC.Methods A questionnaire survey was conducted on the staffing,laboratory equipment configuration,infrastructure construction and information construction of 16 district CDC in Beijing from 2019 to2021.Through longitudinal comparison,the progress of standardization construction of each institution was analyzed,and the gap of each institution was analyzed by comparing with the target value.The longitudinal comparison was expressed by fixed base ratio and sequential comparison,and the comparison with the target value was expressed by percentage.SPSS 20.0 statistical software was used for multivariate linear regression and binary Logistic regression.Results From2019 to 2021,the number of personnel in 7 regional CDC institutions increased,and the standard configuration rate of laboratory equipment in 15 districts increased to varying degrees.By the end of 2021,the number of approved disease control personnel per 10000 permanent population was less than 1.75 in nine districts(56.25 percent),the per capita floor area was less than 65 square meters in eight districts(50 percent),and the proportion of laboratory area was less than 40 in 10districts(62.5 percent).In terms of data exchange with medical institutions,data exchange on infectious diseases reports was realized in 5 districts,data exchange on chronic diseases was realized in 2 districts,and data exchange on diseases related to health hazard factors was realized in 3 districts.Two districts realized interactive sharing with regional residents’electronic health records,one district realized interactive sharing with regional residents’electronic medical records,and none of the districts realized interactive sharing with regional population database.Per capita GDP(t=6.60,P=0.00)and permanent population(t=-4.25,P=0.00)had an impact on the number of approved disease control personnel per 10000 permanent population.GDP(t=3.61,P=0.00),permanent population(t=-2.18,P=0.04)and number of personnel(t=-2.61,P=0.01)had an impact on the per capita floor area.Conclusions The standardization construction of CDC in Beijing has made some progress,but the overall development level does not meet the actual needs of Beijing.It is necessary to further improve the connotation of standardization construction and continuously promote standardization construction.
作者
苏宁
郭宇濛
徐晓敏
芦明月
于建平
SU Ning;GUO Yu-meng;XU Xiao-min;LU Ming-yue;YU Jian-ping(Beijing Center for Diseases Control and Prevention,Beijing 100013,China)
出处
《预防医学情报杂志》
CAS
2022年第5期702-707,共6页
Journal of Preventive Medicine Information
关键词
疾病预防控制机构
标准化建设
进展
影响因素
disease prevention and control institution
standardization construction
progress
influencing factors
