浙江省疫苗管理的SWOT分析

A SWOT analysis of vaccine management in Zhejiang Province

目的采用优势、劣势、机会和威胁(SWOT)分析方法综合评价浙江省疫苗管理状况,为疫苗管理工作的规范化和标准化提供依据。方法通过省级督导、调研和调查收集浙江省各疾病预防控制中心疫苗管理及相关人力资源、信息化建设资料,采用SWOT分析方法对浙江省疫苗管理进行综合评价,并建立SWOT分析矩阵提出对策建议。结果浙江省疫苗管理的优势在于疫苗采供管理工作规范有序,建设了疫苗管理信息系统,疫苗储存运输冷链有保障;劣势在于人力资源配置不足,冷链管理问题,缺少标准化疫苗管理模式和浙江省疫苗管理与预防接种信息系统尚未全覆盖;机会在于良好的政策基础,疫苗管理步入法制化轨道,健康浙江建设和持续深化医疗卫生服务领域"最多跑一次"改革;威胁在于疫苗供应紧张,公众对疫苗管理的期望与现状尚存在差距以及省级疫苗调配能力降低。需不断完善和健全疫苗管理体系建设,加强疫苗规范化管理,定期组织专家对浙江省疫苗管理进行风险评估,加快推进疫苗和预防接种综合管理信息系统全覆盖,积极开展疫苗管理标准化研究,探索浙江省疫苗管理的标准化工作流程。结论浙江省疫苗管理虽取得一定的成绩,但距离高效率、高水平、规范化、标准化管理目标还有一定差距;下一阶段浙江省疫苗管理应加强制度和标准建设,逐步完善管理体系,加快推进浙江省疫苗和预防接种综合管理信息系统全覆盖。

Objective To learn the situation of vaccine management in Zhejiang Province by SWOT analysis,so as to provide basis for normalization and standardization of vaccine management.Methods Through supervision and investigation,the data of vaccine management related human resources and information construction of the CDCs in Zhejiang Province were collected.The comprehensive evaluation of vaccine management in Zhejiang Province was carried out by SWOT analysis,and the SWOT matrix was established for suggestions.Results The advantages of vaccine management in Zhejiang Province lay in the standardized management of purchase and supply,the construction of vaccine management information system and the guarantee of cold chain system;the disadvantages lay in the insufficient allocation of human resources,new problems of cold chain management,the lack of standardized vaccine management mode and the incomplete coverage of vaccine and vaccination information system;the opportunities lay in the legalization of vaccine management,"Healthy Zhejiang"initiative and the"one run at most"reform in healthcare services;the threats lay in the shortage of vaccine,the gap between the expectation of the public on vaccine management and the current situation,and the reduced capacity of vaccine deployment in the provincial CDC.We should constantly improve the construction of vaccine management system,strengthen the standardized administration,regularly carry out risk assessment on vaccine management,accelerate the full coverage of vaccine and vaccination management information system,and explore the standard operation procedure of vaccine management in Zhejiang Province.Conclusions Although some achievements have been made in vaccine management in Zhejiang Province,there is still a gap from the goals of high-efficiency,high-level,normalization and standardization.The standardization and full coverage of the information system of vaccine management should be strengthen in the next stage.