七省161所疾病预防控制中心公共职能落实程度分析

目的明确我国疾病预防控制中心公共职能的落实程度。方法采用分层随机抽样法,在全国范围内抽取161个疾病预防控制中心,调查样本机构公共职能项目开展比例以及开展项目的操作程度。所谓公共职能的落实程度是指样本机构公共职能项目平均开展比例和平均操作程度的乘积。结果(1)样本疾病预防控制中心公共职能项目的平均落实程度为42.9%,其中省级为56.0%,市级为43.7%,县级为41.3%;东部地区为49.3%,中部地区为45.4%,西部地区为35.3%。(2)样本疾病预防控制中心七项公共职能中,疾病预防与控制职能落实程度为54.3%、突发公共卫生事件应急处置为65.8%、疫情报告及健康相关因素信息管理为35.0%、健康危害因素监测与控制为31.3%、实验室检测与评价39.1%、健康教育与健康促进为36.4%、技术指导与应用研究为56.7%。结论我国疾病预防控制中心各项公共职能落实程度普遍不高,并随地区和级别的变化而变化;各项公共职能中,突发公共卫生事件应急处置职能落实程度最高,健康危害因素监测与控制职能落实程度最低。

Implementation analysis of public functions of 161 centers of disease prevention and control in 7 provinces

Objective\ To evaluate the implementation of public function and items of the centers of disease prevention and control ~CDC). Methods 161 centers of disease prevention and control have been investigated by two-stage stratified sampling. The implementation analysis of public function and items of CDC is measured by multiplying average operational proportion and average operational degree. Results ~1)For investigated centers, the average rate of function implementation is 42.9%, with 56.0% at provincial level and 43.7% at city level, 41.3% for the county level, while 49.3% in east areas, 45.4% in middle areas and 35.3% in west areas. ~2) Among all 7 functional items, the implemented rate of disease prevention and control is 54.3%, 65.8% for emergency treatment, 35.0% for epidemic situation report and information management of health relative factors, 31.3% for inspection and control of health risk factors, 39.1% for the laboratory examination and evaluation, 36.4% for health education and health promotion, and 56.7% for technological guidance and application study. Conclusion The implemented degree of public function of CDC was generally lower, varied with regions and levels. Among 7 public functional items, the emergency treatment function had the highest implementation, with the lowest for the inspection and control of health relative factors.