皖中公共卫生体系慢病防控人力资源现状分析

目的分析皖中公共卫生体系慢病防控人员的数量和质量，为合理调整与建设慢病防控专业队伍提供科学依据。方法2011年3月～6月于合肥和安庆两市普查辖区内所有疾病预防控制中心（centerfordiseasecontrolandprevention，CDC），依据行政区划分层抽样调查社区卫生机构（communityhealthserviceinstitutions，CHSI）；并调查两类机构所有慢病防控人员。结果17家CDC慢病防控人员占人员总数4．2％，专兼职比为1：1．1，有外聘人员；其中67．6％为男性且67．6％为预防医学专业背景，本科及以上学历者占64．7％。171家CHSI中72．5％设有慢病防控专管人员，防控人员占技术人员的39．3％，其中专职比例28．7％，女性占65．6％，89．6％出自于医护专业，大专、高中专及以下学历分别占44．7％和33．9％。两类机构慢病防控人员平均工作年限P50（P25，P75，）]为2（1，4）年，45岁以下青壮年占81．7％，中级及以下职称者占96．4％，慢病知识总知晓率为66．1％，77．8％近5年接受过专业培训，但培训以本级为主且次数较少。结论皖中慢病防控人力资源发展滞后，为满足人们日益增长的防治需求，应着力改善慢病防控队伍兼职多、培训少以及社区人员学历低和缺防保等现状。

Analysis on the status of human resources for non-communicable chronic disease prevention and control in public health systems in Central Anhui Province

Objective To analyze the quantity and quality of chronic non-communicable disease prevention and control （NCD-PC） human resources within public health system in two cities of central Anhui, to provide scientific basis for adjusting and building appropriate professional teams. Methods During March 2011 to June 2011, a general investiga- tion was conducted on all Centers for Disease Control and Prevention （CDC） in Hefei and Anqing, while community health institutions （CHSI） were selected by stratifying sampling method according to the administrative division. All chronic dis- ease prevention and control staff in the two types of institutions were also investigated. Results In 17 CDCs, the NCD-PC personnel accounted for 4. 2% of the total number, the full-time to part-time ratio was 1 ： 1.1 and tentatively employed persons are major; of whom 67.6% were males of preventive medicine professional background and 64. 7% were bachelor degree or above. In 171CHSIs, 72. 5% have been equipped with NCD-PC managerial staff; the NCD-PC personnel accoun- ted for 39. 3% of the total number of professionals while the full-timer ones only accounted for 28.7% ; of the NCD-PC per- sonnel in CHSIs, 65.6% were females, 89.6% were from clinicine medicine and nursing, 44. 7% had a junior college de- gree while 33.9% graduated from high schools or below. Among the NCD-PC personnel in the two types of institutions, the average working years P50 （ P25, P75 ） ] was 2 （ 1,4 ） years, 81.7% are young and middle-aged under 45 years and 96.4% were intermediate and the following professional titles. The professional knowledge awareness rate was 66. 1% and 77.8% staff received relevant professional training in the past five years, but the training was primary at the corresponding level with insufficient times. Conclusions The development of NCD-PC human resources in central Anhui is relatively backward. To meet people＇ s ever-increasing demand for NCD- PC, efforts should be made to improve the present situation of disease prevention and control teams with few trained full-time staff few training, low education background of the com- munity health workers and lack of preventive health care personnel.