2010-2015年北京市疾病预防控制资源配置变化

Allocation of resources for diseases control and prevention in Beijing, from 2010 to 2015

目的 了解北京市疾病预防控制资源配置状况及变化，为优化疾病预防控制资源配置提供科学依据。方法 收集2010-2015年北京市通过中国疾病预防控制信息系统报告的疾病预防控制人力、物力和财力资源数据，进行对比分析。结果 2015年北京每万名常住人口疾病预防控制人员数为1.43人，低于国家标准。2010-2015年北京市疾病预防控制硕士以上学历和正高级职称人员所占比例均呈逐年上升趋势（P〈0.05），2015年高学历和高职称人员所占比例市级疾病预防控制机构均高于区级（P〈0.05）。财政投入和支出连年出现赤字。平均检验能力未达到国家规定标准，仪器设备数量高于国家标准。人均建筑面积为55.9 m2，低于国家规定标准。结论 北京市疾病预防控制人力资源配置不均衡，结构有待优化。建议政府建立统一的疾病预防控制全额经费保障模式。规划北京疾病预防控制用地应符合国家规定人均建筑面积标准要求。

Objective To explore the allocation of resources for diseases control and prevention in Beijing CDC and to put forward related scientific evidence for improvement. Methods To gather and comparatively analyze the human, financial and material resources of Beijing CDC reported by China Information System, from 2010 to 2015. Results Research findings showed that on average, 1.43 CDC members served ten thousand people in Beijing in 2015, which was below the set national standard. The proportion of staff with either master/doctor degrees or senior professional titles showed an annual upward trend from 2010 to 2015 （P〈0.05）, the proportion was higher in the municipal CDC than that in the District CDCs, in 2015 （P〈0.05）. Fiscal deficit had existed for many years. The average capability for different kinds of testings did not reach the national standard. Numbers of instruments and equipment were higher than that of the national standard. The average space of Beijing CDC was 55.9 square meters/person, again had not met the nationally recommended criteria. Conclusions The allocation of CDC human resources was significantly imbalanced in Beijing. The structure of CDC human resources should be improved. We suggested that the Full Funding Security Model＇ should be unified. And the average space of the Beijing CDC should meet the national standard in the years to come.