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珠海市慢性疾病预防控制能力建设现状分析

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目的 了解珠海市基本公共卫生服务慢性疾病项目管理现状、管理能力及基础资源配置等,分析评估基础资源配置效率和慢性疾病防控能力建设制约因素与需求等,为制定慢性疾病预防控制相关政策和防控策略提供依据.方法 在调查的7家疾控中心和29家基层医疗卫生机构中,共有卫生技术在岗人员590人,结合定性访谈进行现场问卷调查,应用数据包络分析技术(DEA模型)分析珠海市各镇街基层医疗卫生机构基本公共卫生服务慢性疾病管理资源配置投入产出效率.结果 珠海市开展慢性疾病预防控制服务项目的基层医疗卫生技术人员的平均年龄为(38.34±10.34)岁,大专及以下学历人员占48.1%,初级职称或无职称人员占59.5%,公共卫生专业人员仅占29.5%,非在编人员占55.1%.2021年珠海市25个镇街综合效率(TE)平均值为0.785,6个镇街TE达到DEA有效,其他均存在不同程度产出不足的情况.结论 强化珠海市政府慢性疾病管理职责,可通过完善慢性疾病管理基础配置、加快推进慢性疾病管理信息化建设、采取形式多样的督导与培训等方式提升慢性疾病预防控制能力建设.
Analysis of the current status of chronic disease prevention and control capacity building in Zhuhai City
Objective To understand the current status of chronic disease management,management ca-pabilities,and basic resource allocation in Zhuhai's basic public health services,analyze and evaluate the effi-ciency of basic resource allocation and the constraints and needs for chronic disease prevention and control ca-pacity building,and provide a basis for formulating relevant policies and prevention and control strategies for chronic disease prevention and control.Methods A total of 590 health technicians were surveyed from 7 Cen-ters for Disease Control and Prevention(CDCs)and 29 primary healthcare institutions in Zhuhai.A field ques-tionnaire survey was conducted in combination with qualitative interviews,and the Data Envelopment Analysis(DEA model)was applied to analyze the input-output efficiency of resource allocation for chronic disease man-agement in primary healthcare institutions at various towns and streets in Zhuhai.Results The average age of primary healthcare technicians involved in chronic disease prevention and control services in Zhuhai was(38.34±10.34)years old.Personnel with college degrees or lower accounted for 48.1%,those with junior ti-tles or no titles accounted for 59.5%,public health professionals accounted for only 29.5%,and non-perma-nent staff accounted for 55.1%.In 2021,the average comprehensive efficiency(TE)of 25 towns and streets in Zhuhai was 0.785,with TE of 6 towns and streets achieving DEA efficiency,while the rest had varying de-grees of insufficient output.Conclusion To strengthen the responsibility of Zhuhai Municipal Government in chronic disease management,it can be improved the capacity building of chronic disease prevention and control by improving the basic configuration of chronic disease management,accelerating the informatization of chron-ic disease management,and adopting various forms of supervision and training.

Basic public health servicesChronic diseasesCapacity buildingEfficiency evalua-tionData envelopment analysis techniqueSurvey analysisGuangdong

马丹、凌莉、尹锡玲、邓韶英、张恒秋、李德云

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珠海市疾病预防控制中心,广东珠海 519000

基本公共卫生服务 慢性疾病 能力建设 效率评价 数据包络分析技术 调查分析 广东

广东省珠海市科技局医疗卫生科技计划项目

2220009000041

2024

现代医药卫生
重庆市卫生信息中心

现代医药卫生

影响因子:0.758
ISSN:1009-5519
年,卷(期):2024.40(18)