云南省2008年疾病预防控制系统慢性病防控机构基础配置现状

Basis allocation status quo of chronic disease prevention and control institutions in 2008 in Yunnan province

[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。

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.