CAJ | 학술논문

目的了解全国疾病预防控制系统慢性病预防控制(防控)能力.方法问卷调查全国省、地(市)和县(区)级所有疾病预防控制中心(CDC)慢性非传染性疾病(慢病)防控的资源、能力及开展的项目. 结果(1)资源:全国有7483人从事慢病防控,占CDC总人数的4.0%;有23.6%的人在2008年投入慢病防控不足6个月.省、地和县级防控经费占同级CDC总经费的比例依次为2.29%、1.70%和2.69%.(2)能力:省、地和县级CDC慢病科所设置比例依次为100.0%、62.8%和43.7%;人员中本科以上学历占34.7%、高级职称占12.1%,其中61.7%从事慢病防控工作不足5年;平均继续教育人次数省级为21.90,地级为4.60,县级为1.68;有8.7%的CDC派人外出进修.省级CDC均开展了慢病监测,仅4.2%的CDC出版过慢病报告;在慢病防控工作中,主要与卫生部门内部机构合作.(3)开展的项目:分别有43.5%和30.8%的县级CDC开展过监测和干预项目. 结论中国疾控系统慢病防控资源匮乏,经费和人员与慢病疾病负担不相称;慢病防控能力有待提高.
목적 료해전국질병예방공제계통만성병예방공제(방공)능력.방법 문권조사전국성、지(시)화현(구)급소유질병예방공제중심(CDC)만성비전염성질병(만병)방공적자원、능력급개전적항목. 결과(1)자원:전국유7483인종사만병방공,점CDC총인수적4.0%;유23.6%적인재2008년투입만병방공불족6개월.성、지화현급방공경비점동급CDC총경비적비례의차위2.29%、1.70%화2.69%.(2)능력:성、지화현급CDC만병과소설치비례의차위100.0%、62.8%화43.7%;인원중본과이상학력점34.7%、고급직칭점12.1%,기중61.7%종사만병방공공작불족5년;평균계속교육인차수성급위21.90,지급위4.60,현급위1.68;유8.7%적CDC파인외출진수.성급CDC균개전료만병감측,부4.2%적CDC출판과만병보고;재만병방공공작중,주요여위생부문내부궤구합작.(3)개전적항목:분별유43.5%화30.8%적현급CDC개전과감측화간예항목. 결론중국질공계통만병방공자원궤핍,경비화인원여만병질병부담불상칭;만병방공능력유대제고.
Objective To evaluate the capacity for noncommunicable diseases(NCDs)prevention and control in the Centers for Disease Control and Prevention(CDCs)in China. Methods All CDCs in China, including provincial, city and county CDCs were surveyed by questionnaires designed by China CDC including resource provided, capacity and efforts for NCDs. Results(1)Resource: 7483 staff members worked on NCDs prevention and control, only accounting for 4.0% of all the CDCs' personnel; 23.6% of the staff members devoted their time to NCDs control less than 6months in 2008. Fundings for NCDs prevention and control only accounted for 2.29%, 1.70% and2.69% of the total funds of provincial, city and county CDCs, respectively.(2)Capacity: The proportions of CDCs that had professional institutes of NCD at provincial, city and county level were 100.0%, 62.8% and 43.7% respectively. CDCs mainly cooperated with health agencies regarding NCDs prevention and control programs. 34.7% of the staff members had educational background of college undergraduate or higher, 12.1% had senior professional titles, 61.7% of them worked for NCDs less than 5 years. The average person-times of continuing education in NCDs were 21.90,4.60and 1.68 at the provincial, city and county CDCs respectively. 8.7% of the CDCs sent their staff members for advanced studies on NCDs. All provincial CDCs carried out surveillance but only 4.2%of them published reports of NCDs in all the CDCs during the past three years.(3)Efforts: 43.5% and 30.8% of the county CDCs carried out surveillance and intervention of NCDs respectively in 2008.Conclusion Resources for NCDs prevention and control were quite limited in CDCs. Fundings and staff members for NCDs were not enough, compared to the heavy disease burden of NCDs. Capacityfor NCDs prevention and control need to be improved.