2016—2021年重庆市寄生虫病防治技术竞赛成绩分析

Analysis on the skill competition results of parasitic disease control professionals in Chongqing City in 2016-2021

目的 评估重庆市各区(县)医院和疾控中心寄生虫病防治人员的业务水平,推动相关单位寄生虫病防治能力建设。方法 收集2016—2021年每年参加重庆市寄生虫病防治技术竞赛队员的个人信息和竞赛成绩(2020年因疫情原因取消),竞赛分为理论考试和技能操作两部分,采用SPSS 19.0对竞赛结果进行统计学分析,并采用U检验或H检验对不同性质成绩进行比较。结果 参赛人员来自重庆市38个区(县),2016—2021年参赛人数分别为73、73、78、76、84人。每年参赛人员女性均多于男性,职称以初级为主,工作地区主要为市辖区。2016年仅疾控机构人员参加竞赛,2017年医疗机构人员开始参赛,至2021年医疗机构人员参赛人数首次超过疾控机构。2016—2021年,参赛选手总成绩的中位数分别为83.50、77.00、88.00、81.00和94.95。其中,技能总成绩的中位数分别为34.00、31.00、36.00、26.00和40.40,理论成绩中位数分别为47.00、45.00、50.50、53.00、55.25。2016年,女性选手的理论成绩、加藤镜检成绩均高于男性选手,差异具有统计学意义(U=753.50、775.50,P均<0.05);市辖区选手的理论成绩高于市辖县选手,差异具有统计学意义(U=379.50,P=0.04)。2018年,市辖区选手的理论成绩高于市辖县选手,差异具有统计学意义(U=410.00,P=0.03)。2019年,女性选手的疟疾制片成绩高于男性选手,差异具有统计学意义(U=775.50,P=0.01)。2021年,中高级职称人员总成绩和疟疾镜检成绩高于初级和初级以下职称人员,组间差异均具有统计学意义(H=6.65、6.81,P均<0.05);来自医疗机构的选手疟疾镜检成绩高于来自疾控机构的选手,差异具有统计学意义(U=1 134.00,P=0.02)。结论 重庆市寄生虫病防治技术人员的寄生虫理论知识和疟原虫制片能力较好,而蠕虫虫卵和疟原虫镜检能力有待提高,建议进一步加强基层寄生虫病防治队伍建设,提高寄生虫病防治能力。

Objective To evaluate the professional capacity of personnel in parasitic disease prevention and control in the Centers for Disease Control and Prevention in Chongqing City in order to facilitate construction of the local institutions in parasitic disease prevention and control.Methods The personal information and competition results of all contestants participated in Chongqing Parasitic Disease Prevention and Control Technology Competition were collected from 2016 to 2021 except 2020(cancelled due to COVID-19 epidemic).The competition consisted of theoretical examination and skill operation.SPSS 19.0 was used to statistically analyze the competition results,and U-test or H-test was used to compare the results of different contestants.Results The participants were all from 38 districts(counties) within Chongqing City.Between 2016 and 2021,the number of participants was 73,73,78,76 and 84 respectively.Female constants were more than male ones in each year,and the academic titles were generally junior professionals.The working areas were primarily in the regions directly under jurisdiction of Chongqing.In 2016,only personnel from disease control institutions participated in the competition.In 2017,personnel from medical institutions began to participate in the competition.By 2021,the number of participants from medical institutions exceeded that of those from disease control institutions for the first time.From 2016 to 2021,the median of total scores of competitors was 83.50,77.00,88.00,81.00 and 94.95 respectively,and the median scoring on skills and theory was 34.00,31.00,36.00,26.00 and 40.40;and47.00,45.00,50.50,53.00 and 55.25 respectively.Comparison of the total scores and scoring on the theory and skills in different groups in 2016 showed that female contestants had higher scoring on theoretical tests and operational skills using Kato-Katz technique than that of males.The difference was significant(U=753.50,775.50,both P<0.05).The theoretical scores of the contestants from municipal districts were higher than those from counties under municipal jurisdiction,with statistical difference(U=379.50,P=0.04).In 2018,contestants from municipal districts had higher scores on the theory than those from counties under municipal jurisdiction(U=410.00,P=0.03).In 2019,female contestants scored higher on production of microscopic specimens for plasmodium detecting than the male contestants(U=775.50,P=0.01).In2021,the total scores of personnel with middle and senior academic titles and the results of malaria microscopy were higher than those of personnel with primary and lower academic titles(H=6.65,6.81,both P<0.05),and the results of malaria microscopic examination were better in contestants from hospitals than those from CDC(U=1 134.00,P=0.02).Conclusion The theoretical knowledge and ability of specimen production are generally better in the contestants from parasitic disease control institutions in Chongqing City,yet the skills in microscopic examination of helminths and plasmodium need improving.The professionals at grass-root organizations are supposed to be strengthened in boosting their capacity in parasitic disease control.