31省438家县级卫生监督机构职能项目开展情况研究

Research on the project implementation of functions of 438 county-level health inspection institutes

目的了解县级卫生监督机构各职能项目的开展情况。方法采用分层整群抽样方法,对全国438家县级样本卫生监督机构的职能、项目的认可情况,以及这些项目的现实开展情况进行调查分析。结果 (1)各县级机构认可的应开展职能项目占全部项目数的47.77%;(2)县级机构各职能项目的平均开展比例为88.15%,其中东部、中部和西部地区分别为91.73%、89.21%和84.83%;(3)在县级机构承担的11项职能中,9项职能的项目开展比例高于85%,"案件查处"职能的项目开展比例最高,为97.55%,而"卫生行政许可"和"卫生监测与评价"职能的项目开展比例分别为83.56%和70.75%。结论县级卫生监督机构各职能项目的总体开展情况良好,个别职能需要重点加强,强化职能认可,并进一步明确职责。

Objective To explicate the operation of the health inspection function and items of health inspection agencies at the county level.Methods 438 agencies at the county level were investigated by stratified cluster sampling to provide the information about the operation of the health inspection function and items of health inspection agencies at the county level.Results（1） of all the items identified and supposed to be carried out by each agency, items confirmed by the investigated institutes accounted 47.77%;（2） the average operational proportion of the investigated institutes was 88.1%, among which east areas91.73%, middle areas 89.21%, west areas 84.83%;（3）among all the 11 functions investigated,9 of which have operational proportions higher than 85%, the operational proportion of case investigation function was the highest,which was 97.55%,while that of health license,the operafiona Lproperfion of health monitoring evaluation function were83.56% 70.75% respectively.Conclusion The health inspection function and items were well carried out by health inspection agencies at the county level in China,but more efforts are still needed for functions unconfirmed.