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目的了解福建省、市、县(区)3级疾病预防控制中心(CDC)资源配置现状,为卫生行政部门制定全省CDC资源配置建设规划提供有力的依据。方法通过国家疾病预防控制基本信息系统,获取福建省各级CDC2010年基本资料,从人力、设施、设备等3个维度进行分析,并与国家建设或建议的标准对比。结果 2010年福建各级CDC人力、房屋设施和实验室仪器设备与国家标准和建议标准之间存在较大差距。省、市、县本科人员达标比例分别只有0、44.4%和17.9%,高级职称达标比例分别为0、44.4%和54.8%,卫生防病业务人员达标比例分别为100%、22.2%和48.8%。人均建筑面积达标比例分别为0.0%、88.9%和68.6%,实验用房达标比例省、市、县分别为100%、44.5%和36.1%;实验室A类设备数量省、市、县达标比例分别为100%、22.2%和8.3%,B类设备数量仅省级达标,市县均不达标,C类设备均不达标,设备配置种类均不达标。结论应根据辖区服务人口合理定编,全面保障疾控机构的公益性,严格准入标准,加快人才培养,完善绩效考核制度,创新分配激励机制。
Objective To understand the current status of CDC resource allocation in Fujian, municipalities and counties (districts), and provide a strong basis for the health administrative department to formulate CDC resource allocation and construction plans across the province. Methods Through the basic information system of national disease prevention and control, we obtained the CDC 2010 provincial capital funds of all levels in Fujian Province, and analyzed them from the three dimensions of manpower, facilities and equipment, and compared with the national construction or proposed standards. Results In 2010, there was a big gap between the levels of human resources, house facilities and laboratory equipment at all levels of Fujian and national standards and recommended standards. Provincial, municipal and county undergraduate staff standards were only 0,44.4% and 17.9%, senior professional title standards were 0,44.4% and 54.8%, the proportion of health and disease prevention operations staff compliance were 100%, 22.2% and 48.8% . The per capita building area compliance rate was 0.0%, 88.9% and 68.6% respectively. The proportion of experimental houses meeting the standards of provinces, municipalities and counties was 100%, 44.5% and 36.1% respectively. Respectively, 100%, 22.2% and 8.3% respectively. The number of Class B equipment only reached the provincial level, and the standards of Class C equipment were not met. The equipment configuration types did not meet the standards. Conclusions should be based on the reasonable population of service area of jurisdiction, fully protect the public health CDC institutions, strict access standards, speed up personnel training, improve the performance appraisal system, innovation distribution incentive mechanism.