Su Zhong-Xin, Xie Hong-Bin, Luo Li, Wang Wei-Cheng, Wang Ying, Sun Mei, Ma Ning, Yu Jingjin, Yu Mingzhu, Duan Yong, Gong Xiangguang, Chen Zheng, Wang Hua, Shi Peiwu, Liang Zhankai, Yang Feng, Wang Dunzhi, Yue Jianning, Luo Shi, Hao Mo
Research Center of Health Development Strategies, Fudan University, Shanghai 200032, China.
Wei Sheng Yan Jiu. 2005 Jul;34(4):386-7.
To evaluate the implementation of public function and items of the centers of disease prevention and control (CDC).
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.
(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.
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.
评估疾病预防控制中心(CDC)公共职能及项目的实施情况。
采用两阶段分层抽样法对161家疾病预防控制中心进行调查。通过平均运作比例与平均运作程度相乘来衡量CDC公共职能及项目的实施情况分析。
(1)被调查的CDC中,职能实施平均率为42.9%,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)在全部7项职能项目中,疾病防控实施率为54.3%,应急处置为65.8%,健康相关因素疫情报告与信息管理为35.0%,健康危险因素监测与控制为31.3%,实验室检测与评价为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%。
CDC公共职能实施程度总体较低,因地区和级别而异。在7项公共职能项目中,应急处置职能实施率最高,健康相关因素监测与控制职能实施率最低。