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目的了解河南省、市、县三级地方病防治机构设置、卫生人员、设备配置现状,为卫生机构发展规划提供依据。方法采用函调法对河南省省级、18个地市和156个县区地方病机构进行调查,内容包括机构设置、人员的数量及结构、房屋设备配置等指标。结果省、市、县共设立有地方病人员695名,市、县两级专职人员的比例都只占50%左右。三级地方病卫生人员年龄分布较为合理,本科以上的比例为90.0%、56.4%、23.4%,高级职称的比例为45.0%、16.5%、6.0%,人力素质综合评分为10.3分、7.9分、5.7分,人均发表论文数为0.5篇、0.3篇、0.02篇,人均下基层次数为9.3次、9.9次、17.0次。全省地方病防治专业机构平均房屋面积为62.7㎡,市级平均为316.6㎡,县级平均为28.7㎡。全省地方病省级配备经费平均每个机构4.1万元,市级11.6万元,县级2.6万元。全省地方病防治机构千元以上设备平均每个机构3.8件,市级9.5件,县级2.5件。每个机构平均拥有台式电脑为1.4台,市级2.9台,县级1.1台。结论地方病专业队伍不稳定,科研能力弱,县级人员结构不合理,房屋设备和配备经费不足,对地方病工作存在一定的影响。
Objective To understand the establishment of endemic diseases prevention and treatment institutions, the current situation of health workers and equipment in Henan Province, cities and counties, and provide the basis for the development planning of health institutions. Methods The investigation of endemic diseases in provincial, prefecture-level, prefecture-level and 156 counties in Henan Province was carried out by using the method of letter-adjustment. The contents include the establishment of institutions, the number and structure of personnel, and the allocation of housing and equipment. Results There were 695 endemic patients in provincial, municipal and county levels, accounting for only about 50% of the full-time staff at municipal and county levels. The distribution of health workers in grade 3 endemic diseases is more reasonable. The ratio of undergraduates is 90.0%, 56.4% and 23.4% respectively. The proportion of senior professional titles is 45.0%, 16.5% and 6.0% respectively. The overall score of human quality is 10.3, 7.9 and 5.7 The number of papers published per person was 0.5, 0.3 articles and 0.02 articles. The average number of undergraduates per capita was 9.3 times, 9.9 times and 17.0 times. The average housing area of endemic diseases prevention and treatment institutions in the province is 62.7 square meters, the average municipal level is 316.6 square meters, and the average county level is 28.7 square meters. Provincial endemic provincial funds with an average of 41,000 yuan per agency, municipal 116,000 yuan, county level 26,000 yuan. The endemic disease prevention and treatment institutions in the province averaged 3.8 yuan for each institution with more than 1,000 yuan, and 9.5 for the municipal level and 2.5 for the county level. Each organization has an average of 1.4 desktop computers, 2.9 municipal and 1.1 county-level. CONCLUSIONS: The instability of endemic professional teams, weak scientific research capacity, unreasonable structure of county-level personnel, inadequate provision of housing equipment and equipment have a certain impact on endemic diseases.