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