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| Reform of operating mechanism of the centers for disease control and prevention |
| XU Yan*, YU Min, CONG Liming, CHEN Kun, ZHU Jiang, YE Zhen
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| *Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, Zhejiang 310051, China |
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Abstract Objective To explore the reform of the operating mechanism of centers for disease control and prevention ( CDCs ) in the new era, and to put forward recommendations. Methods We collected the financial investment and staffing of CDCs in Zhejiang Province from 2018 to 2020 through China Disease Prevention and Control Information System and Zhejiang Health Statistical Yearbook. We conducted a questionnaire survey among 620 staffs selected by convenience sampling, and a qualitative interview among 40 leaders and experts from CDCs and general hospitals in Zhejiang Province. Results By the year 2020, there were 105 CDCs in Zhejiang Province, including 1 province-level, 11 prefecture-level, 90 county-level and 3 development zone-level ones. The revenues were mainly from financial subsidy and business incomes, which were over expenditures. There were 7 008 posts in CDCs, with a staffing allocation ratio of 1.29/10 000. Among the reform measures of operation mechanism of CDCs, the flexible communication between clinicians and public health doctors was highly approved (90.03%); among the reform measures of enhancing the integration of prevention and treatment, further clarifying the public health functions of hospitals and ensuring financial compensation was highly approved (74.01%). Conclusion We should further stimulate the endogenous power and vitality of CDCs, strengthen the construction of talent team, promote the active integration of hospitals and CDCs, and improve public health level.
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Received: 10 September 2021
Revised: 25 October 2021
Published: 03 December 2021
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[1] 中华预防医学会新型冠状病毒肺炎防控专家组.疾病预防控制体系现代化建设的思考及对策建议[J].中华流行病学杂志,2020,41(4):453-460.
[2] 徐崇勇,付晨,许明飞,等.上海市疾病预防控制体系现代化建设思路探讨[J].上海预防医学,2021,33(1):1-5.
[3] 曾光. 论公共卫生和疾病预防控制系统改革[J].中国应急管理科学,2020(3):4-7.
[4] 毛阿燕,王晴,邱五七,等.我国二级以上公立医院公共卫生职能相关政策分析[J].中国医院,2019,23(7):21-26.
[5] 林进龙. 21世纪初中国公共卫生体系研究进展[J].西安建筑科技大学学报(社会科学版),2020,39(5):47-55.
[6] CORONADO F,POLITE M,GLYNN M K,et al.Characterization of the federal workforce at the centers for disease control and prevention[J].J Public Health Manag Pract,2014,20(4):432-441.
[7] 邹佳彤,郭颖,陈勇,等.疾病预防控制机构人力资源现况及存在问题分析[J].上海预防医学,2020,33(1):6-12.
[8] 庞孟涛,黄良,李娜,等. 2016—2020年浙江省疾病预防控制机构人力资源分析[J]. 预防医学,2021,33(10):1009-1013.
[9] 程锦泉. 我国疾病预防控制体系现代化建设的思考及对策建议[J].中华预防医学杂志,2020,54(5):1-5.
[10] 王禅,刘志强,关振东.基于6省份调查数据分析我国疾控中心面临的若干问题及对策思考[J].中国医疗管理科学,2020,10(1):10-14.
[11] 陈斯斯. 上海政协常委:公共卫生人才流失严重,建议完善投入机制[EB/OL].[2021-10-25].https://www.thepaper.cn/newsDetail_ forward_1603439.
[12] 赵茜,刘玲玲.西部某省疾病预防控制系统人才流失现状分析[J].职业卫生与病伤,2019,34(2):114-117.
[13] 郭利娜,丁凡,席晶晶.全国疾病预防控制机构人力资源发展现状分析[J].中国公共卫生管理,2020,36(2):158-161.
[14] 习近平.构建起强大的公共卫生体系为维护人民健康提供有力保障[N].求是,2020-09-15(18).
[15] 严晓玲,李新超,别凤赛,等.国内外公立医院公共卫生服务职能分析与政策建议[J],中华医院管理杂志,2019,35(9):723-727. |
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