CAJ | 학술논문

目的：：探讨我国县级疾病预防控制中心(简称“疾控中心”)效率的影响因素。方法：全国系统抽样选取458个县级样本疾控中心，运用多水平模型对2012年数据进行分析，明确区域层面(高水平)和机构层面(低水平)因素对机构效率的影响。结果：我国县级疾控中心的效率在省份间存在聚集性，区域层面的人口密度对机构效率存在影响，机构层面中卫生技术人员比例、人均服务收入、人均实验室面积对效率有显著影响。结论：区域层面和机构层面的因素均对效率产生影响，多水平模型有助于全面认识我国疾控中心效率的影响因素。
목적：：탐토아국현급질병예방공제중심(간칭“질공중심”)효솔적영향인소。방법：전국계통추양선취458개현급양본질공중심，운용다수평모형대2012년수거진행분석，명학구역층면(고수평)화궤구층면(저수평)인소대궤구효솔적영향。결과：아국현급질공중심적효솔재성빈간존재취집성，구역층면적인구밀도대궤구효솔존재영향，궤구층면중위생기술인원비례、인균복무수입、인균실험실면적대효솔유현저영향。결론：구역층면화궤구층면적인소균대효솔산생영향，다수평모형유조우전면인식아국질공중심효솔적영향인소。
Objective: To examine the influencing factors of the efficiency of county-level centers for disease control and prevention ( CDCs) in China. Methods:458 county-level CDCs were selected based on a systematic sam-pling method. Multilevel modeling was used to analyze the region-level and institution-level influencing factors affect-ing the efficiency of CDCs. Results: It was found that the region ( province) is associated with the efficiency of a CDC. The region-level factor of population density exhibited a significant influence, while the institution-level factors such as the proportion of health technicians, service income and CDC laboratories per capita also had an influence on overall efficiency. Conclusions: Both the region-level and institution-level determinants influence efficiency. Multi-level modeling can help researchers gain a comprehensive understanding of the influencing factors that affect the CDC efficiency.