四川省疾病预防控制机构慢性病防控及健康教育能力分析

Analysis of disease prevention and control and health education ability of chronic disease in Sichuan Provincial Disease Control and Prevention Institution

目的分析四川省各级疾病预防控制机构慢性病防控及健康教育能力现状,为推进慢病防控工作提供依据。方法采用问卷调查形式收集四川省各级疾病预防控制中心(简称“疾控中心”)2017—2020年慢性病防控及健康教育相关人员的能力和业务工作开展情况,使用率、占比进行统计学描述。结果截至2017年,四川省各疾控中心均有开展慢性病防控工作,24.12%机构设立专职部门,45.23%设立兼职部门。全省从事慢病防控及健康教育者(1178人)占专业技术人员比例为9.68%,以初级及以下职称(55.14%)、医学类专业(88.91%)为主。33.30%、11.60%的地区在本级政府和卫生行政部门财政预算中有慢性病防控专项经费,市、县两级疾控中心到账经费占总业务经费比例分别为0.57%和2.09%。个人能力方面,2018—2020年间调查对象参加国家级学术会议人均不足1次,省市级学术会议人均不足2次;省、市、县级疾控人员在慢病防控及健康教育领域以第1作者身份发表过专业论文者占各级总调查对象比例分别为25.00%、11.25%和15.17%,进行会议交流者占各级总调查对象比例分别为12.50%、8.75%和5.79%。结论四川省省、市、县级疾控机构慢病防控科室设置不完善,经费投入少,慢性病防控人员综合素质和科研能力有待提高。

Objective To analyze the status of the prevention and control and health education ability of chronic disease of disease prevention and control institutions at all levels in Sichuan Province,and to provide the evidence for the promoting the prevention and control of chronic disease.Methods A questionnaire survey was used to collect the ability and work development of personnel related to chronic disease control and health education in centers for disease control and prevention(CDC)of Sichuan Province from 2017 to 2020,and the utilization rate and proportion were statistic ally described.Results By 2017,the prevention and control work of chronic disease were carried out in all CDCs of Sichuan Province,and 24.12%institutions had set up full-time departments,and 45.23%had set up part-time departments.In the province,total of 1178 people were engaged in chronic disease prevention and control and health educators,accounting for 9.68%of the professional and technical personnel.Most of them were primary and below professional titles(55.14%)and medical majors(88.91%).And 33.30%and 11.60%of the regions had special funds for the prevention and control of chronic diseases in the budgets of the governments and the health administrative departments at the corresponding levels,and the funds received by the CDC at the city and county levels accounted for 0.57%and 2.09%of the total operational funds,respectively.In terms of personal ability,respondents participated in national academic conferences less than once and provincial and municipal academic conferences less than twice during 2018 to2020.Provincial,municipal and county CDC personnel who published professional papers as the first author in the field of chronic disease prevention and control and health education accounted for25.00%,11.25%,15.17%.Meeting communication of total respondents at all levels was 12.50%,8.75%and 5.79%,respectively.Conclusions The establishment of chronic disease prevention and control departments in provincial,municipal and county CDC institutions of Sichuan is not perfect,and the expenditure is less.The comprehensive quality and scientific research ability of chronic disease prevention and control personnel need to be improved.