卫生软科学
衛生軟科學
위생연과학
SOFT SCIENCE OF HEALTH
2014年
8期
500-504
,共5页
慢性病%预防控制机构%资源配置%公平性
慢性病%預防控製機構%資源配置%公平性
만성병%예방공제궤구%자원배치%공평성
chronic disease%prevention and control institution%resource allocation%equity
[目的]了解云南省疾病预防控制系统慢性病防控机构的基础配置现状及公平性。[方法]采用问卷调查的方法，收集云南省各州（市）、县（市、区）疾控机构的机构设置、人员及经费配置情况，运用描述性统计、洛伦茨（Lorenz）曲线和基尼（Gini）系数法评价。[结果]43.75%的州（市）及32.03%的县（市、区）设置了专职的慢病防控科室。全省慢病防控人员中23.17%的人员具有本科及以上的学历，其中州（市）级为44.45%，县（市、区）级为17.18%。37.5%的州（市）疾控中心有慢病防控业务经费，所有的县级疾控中心均无慢病防控经费。按人口配置，慢病防控科室、人员及经费的基尼系数分别为0.4793、0.6108、0.8578；按地理面积配置，慢病防控科室、人员及经费的基尼系数分别为0.5109、0.6132、0.9421。[结论]云南省疾控系统专职慢病防控科室所占比例较低，慢病人员及业务经费不足，按人口或地理面积的慢病资源配置公平性差。
[目的]瞭解雲南省疾病預防控製繫統慢性病防控機構的基礎配置現狀及公平性。[方法]採用問捲調查的方法，收集雲南省各州（市）、縣（市、區）疾控機構的機構設置、人員及經費配置情況，運用描述性統計、洛倫茨（Lorenz）麯線和基尼（Gini）繫數法評價。[結果]43.75%的州（市）及32.03%的縣（市、區）設置瞭專職的慢病防控科室。全省慢病防控人員中23.17%的人員具有本科及以上的學歷，其中州（市）級為44.45%，縣（市、區）級為17.18%。37.5%的州（市）疾控中心有慢病防控業務經費，所有的縣級疾控中心均無慢病防控經費。按人口配置，慢病防控科室、人員及經費的基尼繫數分彆為0.4793、0.6108、0.8578；按地理麵積配置，慢病防控科室、人員及經費的基尼繫數分彆為0.5109、0.6132、0.9421。[結論]雲南省疾控繫統專職慢病防控科室所佔比例較低，慢病人員及業務經費不足，按人口或地理麵積的慢病資源配置公平性差。
[목적]료해운남성질병예방공제계통만성병방공궤구적기출배치현상급공평성。[방법]채용문권조사적방법，수집운남성각주（시）、현（시、구）질공궤구적궤구설치、인원급경비배치정황，운용묘술성통계、락륜자（Lorenz）곡선화기니（Gini）계수법평개。[결과]43.75%적주（시）급32.03%적현（시、구）설치료전직적만병방공과실。전성만병방공인원중23.17%적인원구유본과급이상적학력，기중주（시）급위44.45%，현（시、구）급위17.18%。37.5%적주（시）질공중심유만병방공업무경비，소유적현급질공중심균무만병방공경비。안인구배치，만병방공과실、인원급경비적기니계수분별위0.4793、0.6108、0.8578；안지리면적배치，만병방공과실、인원급경비적기니계수분별위0.5109、0.6132、0.9421。[결론]운남성질공계통전직만병방공과실소점비례교저，만병인원급업무경비불족，안인구혹지리면적적만병자원배치공평성차。
Objective To know basis allocation status quo status of chronic disease prevention and control institution and the equity in Yunnan province. Methods Collected the condition of structure installation, staffs and expenditure allocation of prefectures, cities(counties and districts) CDC by questionnaire survey. Evaluated by descriptive statistics, Lorenz curve and Gini coefficient. Results 43.75% of prefectures or cities and 32.03% of counties or districts had full-time chronic disease prevention and control sectors. In chronic prevention and control staffs in Yunnan province, 23.17% of the staffs with undergraduate or above degree. Among, 44.45%were in prefectures or cities level, and 17.18%were in counties or districts level. 37.5%of CDC had chronic disease prevention and control funds in prefectures or cities. But none funds in all of counties or districts CDC. The Gini coefficient was 0.4793, 0.6108 and 0.8578 respectively according to population allocation, chronic disease prevention and control sectors,staffs and funds. But the Gini coefficients should be 0.5109、0.6132、0.9421 respectively according to geography area.Conclusions The proportion of full-time chronic disease prevention and control sectors were lower, lack of funds and staffs and poor equity of chronic disease prevention and control resource allocation according to population or geography.
