阶段性发展评估工具在我国疾控机构中应用的可行性研究

Studying on the Feasibility of The Application of Staged Development Tool in China's Disease Control and Prevention Institutions

目的:对阶段性发展评估工具(staged development tool,SDT)在我国疾控机构中的应用前景进行可行性分析,并提出推广应用建议。方法:通过现场讲解和模拟演练,对已了解SDT工具的疾控工作人员进行网络问卷调查,收集人口学特征、疾控机构亟待提升的领域.SDT可行性及推广应用途径等。结果:共有101名来自各级疾控机构的工作人员参加了研究。调查对象以35~57岁年龄组(60.40%)、硕士(57.43%)、高级职称(44.56%)为主。按“0~10”分的标准,SDT可行性平均评分为6.39;67人认为“可行性较好”(6~10分),占66.33%;骨干或专家(75.86%)、中层及以上管理者(62.86%)对SDT推广应用持积极态度。SDT在战略规划(84.16%)、政策研究(55.45%)及国际合作(43.56%)等领域有所帮助,可利用编制规划(59.41%)、会议或培训(59.41%)、项目试点(37.62%)等活动加以推广。SDT应用时可能会存在“评分制度不合理”(42.57%)、“不符合中国思维习惯”(39.60%)和“依赖主持人”(36.00%)等不足。结论:SDT在疾控机构应用时具有较好的可行性,专家及管理者对SDT推广应用持更为积极的态度,编制机构规划、会议或培训等活动是可以加以利用的可能途径。此外,还应进一步开展研究,对其指标体系进行本土化修订。

Objective To analyze the feasibility of the application of staged development tool (SDT) in China’s disease control and prevention centers (CDCs),and provide suggestions for its popularization and implementation.Methods An online questionnaire survey was conducted among CDCs staffs who had gained the knowledge of SDT through on-site briefing and simulation exercises.Data were collected on demographic information,field needing to be improved in CDCs,feasibility of SDT,and approaches to popularization.Results 101 staffs from different level of CDCs were involved in the survey,60.40%of which were aged 35-57,57.43%had master degrees,and 44.56%had senior professional titles.The average feasibility score was 6.39.There were 67 participants (66.33%) scored SDT as"feasible"(6~10 points).Senior experts (75.86%),team leaders or directors(62.86%) were more likely to promote SDT.SDT was helpful in strategic planning (84.16%),policy research (55.45%) and international cooperation (43.56%).There were good opportunities to promote SDT through institutional planning (59.41%),meetings or training workshops (59.41%),and project pilots (37.62%).There had deficiencies of SDT in"inappropriate scoring frame"(42.57%),"inconformity in Chinese thinking system"(39.60%) and"relying on facilitators"(36.00%).Conclusion It is feasible to promote SDT in China’s CDCs.Senior professionals and managers have more positive attitude towards promoting SDT.Activities such as making institutional plans,meetings or training workshops are possible ways to be used.In addition,further researches are needed to modify the index system.