郴州市疾病预防控制机构实验室检验能力调查分析

Evaluation of capacity of laboratory testing in disease preventionand control institutions in Chenzhou city

目的了解郴州市、县两级疾病预防控制机构(以下简称疾控机构)检验检测综合能力,为疾控机构实验室建设提供参考。方法采用自填调查表与现场核查相结合的方式,2022年3月—2023年4月,对郴州市疾病预防控制中心(简称疾控中心)及辖区内11个县级疾控中心实验室现状和管理体系运行情况进行调查。用EXCEL 2010软件建立数据库,用SPSS 28.0统计软件进行数据分析。结果郴州市、县两级疾控中心实验室面积总占比为36.99%,6个疾控中心达到要求;检验人员占专业技术人员比例为18.91%;市疾控中心A类仪器设备配置率为91.23%,县级疾控中心平均为78.54%;市疾控中心近1年A类检验项目开展率为82.30%,县级疾控中心平均为44.46%;市疾控中心近1年资质认定项目开展率为51.31%,县级疾控中心平均为51.11%;实验室管理体系运行平均得62.02分。结论郴州市、县两级疾控机构难以适应未来对疾控中心实验室检验能力定位需求;建议将实验室管理体系运行纳入疾控机构标准化建设考核内容,提升管理水平。

Objective To understand the comprehensive ability of testing and detection of laboratory in disease prevention and control institutions at city and county levels in Chenzhou,and provide references for laboratory construction in disease control institutions.Methods From March 2022 to April 2023,a combination way of self-administered questionnaires and on-site verifications was used to investigate the current status and management system operating situation of the laboratories in Chenzhou center for disease control and prevention(CDC for short)and 11 CDCs at county-level administrated by Chenzhou city.Database was established by EXCEL 2010,and the data was analyzed by SPSS 28.0 software.Results The proportion of all laboratories area was 36.99%in total area of CDCs,and there were 6 CDCs reached the requirements.The proportion of laboratory personnel was 18.91%in the professional technicians.The configuration rate of class A instruments and equipment was 91.23%in Chenzhou CDC,and was 78.54%in the CDCs at county level on average.Over the past year,the implementation rate of type A test items was 82.30%in Chenzhou CDC,and was 44.46%in the CDCs at county level on average,and the implementation rate of the qualification confirmation was 51.31%in Chenzhou CDC,and was 51.11%in the CDCs at the county level on average.The average score of the operation of laboratory management system was 62.02 points.Conclusions It is difficult for the disease control institutions at the city and county levels in Chenzhou to adapt to the future demand for the laboratory testing ability of the disease control center.It is suggested to bring the operation of laboratory management system into the assessment content of CDC standardization construction to improve the management level.