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新形势下我国传染病疫情监测管理现状调查
引用本文:曾令佳,徐莉立,杨雯雯,耿梦杰,王丽萍,李中杰,余宏杰.新形势下我国传染病疫情监测管理现状调查[J].疾病监测,2016,31(11):949-952.
作者姓名:曾令佳  徐莉立  杨雯雯  耿梦杰  王丽萍  李中杰  余宏杰
作者单位:1.中国疾病预防控制中心传染病预防控制处, 传染病监测预警中国疾病预防控制中心重点实验室, 北京 102206
摘    要:目的 了解全国各省传染病疫情监测人员与工作管理现状,为进一步加强全国传染病疫情监测管理提供依据。方法 采用问卷调查方式,对全国31个省(自治区、直辖市)及新疆生产建设兵团疾病预防控制中心(CDC)的传染病疫情监测管理部门完成调查。使用Excel软件和R(i386 3.2.2)软件完成数据录入与统计分析。结果 全国32家省级疾病预防控制中心机构从事传染病疫情监测管理的人员以30~岁(42%)年龄段、硕士学历(47%)、预防医学专业(75%)和中级职称(45%)为主。除个别省份外,疫情监测数据的周、月、年等常规分析及专题分析、反馈机制较为健全。但将分析结果及时反馈给辖区医疗机构的单位仅为6家(19%)。多数省份采用较为传统的疫情分析技术与方法开展数据分析,仅8个省份利用软件技术实现了全自动或半自动分析,其中有4个省已在全省(市、区)范围内对新技术方法进行了推广。全国共有23家单位(72%)有派学员到中国CDC进行疫情数据分析技术和统计方法学为主的短期进修需求。结论 我国省级疫情监测管理专业技术人员数量普遍偏少,人员结构有待优化。疫情监测数据分析机制已经形成,但应进一步加强对医疗机构的反馈。疫情数据分析利用普遍不够,分析技术有待创新,是今后很长一段时间需要重点加强的方向。

关 键 词:传染病    疫情监测    疫情管理
收稿时间:2016-05-26

Management of communicable disease surveillance in China under the new situation
Affiliation:1.Division of Communicable Disease Control and Prevention, Key Laboratory for Communicable Disease Surveillance and Early Warning, Chinese Center for Disease Control and Prevention, Beijing 102206, China
Abstract:Objective To understand the management of communicable disease surveillance and human resources involved in all the provinces in China, and provide evidence for the further improvement of the communicable disease surveillance in China. Methods By using questionnaire, the departments of communicable disease surveillance of provincial centers for disease control and prevention(CDCs) in 31 provinces (autonomous region, municipality), including Xinjiang Production and Construction Corps were surveyed. Excel 2010 and software R (i386 3.2.2) were used for data analysis. Results The personnel engaged in communicable disease surveillance in 32 provincial CDCs were mainly aged 30~years old (42%). Among them, 47% had master's degree, 75% majored in preventive medicine and 45% had middle professional title.Except for several provincial CDCs, effective weekly monthly and annual surveillance data analysis, special analysis and feedback mechanisms have been established, but only 6 provincial CDCs conducted timely feedback of data analysis results to district medical agencies (19%). Most provincial CDCs used traditional technology and methods for surveillance data analysis, only 8 provincial CDCs implemented the automatic or semi-automatic analysis by using software, and 4 provincial CDCs conducted new technology promotion in their provinces. Twenty three provincial CDCs (72%) had requirements to send staff to China CDC for short-term training on surveillance data analysis and statistics. Conclusion The staff engaged in communicable disease surveillance management are lacking in China, and the human resources structure needs to be improved. The analysis mechanism of surveillance data has been established, but the analysis result feedback needs to be strengthened. The utilization of surveillance data and analysis technique should be improved and innovated in the future surveillance.
Keywords:Communicable disease  Surveillance  Management
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