内蒙古鼠疫综合防控示范区鼠疫防控工作面临的困境分析

Analysis of Challenges in Plague Prevention and Control in the Comprehensive Demonstration Zone of Plague Prevention and Control in Inner Mongolia

目的:分析内蒙古自治区鼠疫综合防控示范区鼠疫防控工作面临的困境,为完善鼠疫防控工作提供科学的参考依据。方法:采用扎根理论研究方法,选取内蒙古自治区四子王旗、鄂托克旗60名鼠疫防控相关工作人员及当地居民,于2023年4月-10月进行半结构化访谈,使用Nvivo 20.0对访谈的文本资料进行编码分析。结果:通过扎根理论三级编码共梳理归纳出18个副范畴、6个主范畴、2个核心范畴。核心范畴为服务能力和政策保障两个方面;服务能力核心范畴包括防控人员队伍建设困境、防控技术能力不足、责任意识不足3个主范畴,政策保障核心范畴包括资金制约、缺乏信任、缺少外部协同3个主范畴;以上6个主范畴由“疾控人员编制不足”“人员职称结构失衡”等18个副范畴归纳汇总形成。结论:服务能力和政策保障2个核心因素构成示范区鼠疫防控工作面临的主要困境。地方政府与相关部门应着力提高鼠疫防控工作人员的服务能力,完善政策保障,稳步提升示范区鼠疫防控能力。

Objective:To analyze the challenges faced in plague prevention and control in the comprehensive demonstration zone of plague prevention and control in Inner Mongolia,and to provide scientific references for improving plague prevention and control work.Methods:Using the grounded theory research method,semi-structured interviews were conducted with 60 plague prevention and control staff and local residents in Siziwang Banner and Otog Banner of Inner Mongolia Autonomous Region from April to October 2023.Nvivo 20.0 was used to code and analyze the interview text data.Results:This study used grounded theory coding to identify 18 subcategories,6 main categories,and 2 core categories.The core categories are service capacity and policy guarantee.Service capacity includes challenges in personnel team construction,insufficient technical capabilities,and a lack of responsibility awareness.Policy guarantee comprises financial constraints,lack of trust,and insufficient external collaboration.These six main categories were derived from summarizing 18 subcategories such as"inadequate staffing for epidemic prevention and control"and"imbalanced professional title structure".Conclusion:The core factors of service capability and policy guarantee constitute constraints on the improvement of plague prevention and control capabilities in the demonstration zone.Local governments and relevant departments should focus on improving the service capabilities of plague prevention and control workers and effectively improve policy guarantees to steadily enhance the plague prevention and control capabilities of the demonstration zone.