Systematic review on the reform of disease prevention and control system in China
10.3760/cma.j.cn112150-20210823-00818
- VernacularTitle:中国疾病预防控制体系改革进展系统综述
- Author:
Mingxiu LIANG
1
;
Shasha YUAN
;
Zijin SHAO
;
Fei TIAN
;
Zhenwei ZHANG
;
Kun HAN
;
Xiangzheng LYU
Author Information
1. 中华医学会杂志社《中华医学杂志》编辑部 医学期刊知识挖掘与服务重点实验室,北京 100053
- Keywords:
Disease prevention and control system;
Reform;
System;
Systematic review
- From:
Chinese Journal of Preventive Medicine
2021;55(11):1332-1338
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To systematically understand the reform progress of disease prevention and control system in China.Methods:The literature regarding the reform of China′s disease prevention and control system was searched by using the keywords including disease prevention and control, center for disease prevention and control (CDC), disease control, reform, and system from 2003 to 2020 in China CNKI, Wanfang Data knowledge service platform, VIP information and China biomedical literature database. The language is limited to Chinese. A total of 25 studies were included to analyze the information about the organizational structure, functional orientation, financing mechanism and personnel system of China′s disease prevention and control system.Results:The 25 studies described the specific changes and reform suggestions of China′s disease prevention and control system, including key policies (7 studies), organizational structure transformation (4 studies), institutional function transformation (7 studies), financing mechanism transformation (5 studies), personnel system reform (2 studies), and performance-based salary system reform (4 studies). Meanwhile, the reform suggestions were concluded at the top-level design system reform (two aspects), organization structure (three aspects), functioning (four aspects), and personnel guarantee mechanism (three aspects).Conclusions:This study indicates that there is a lack of empirical evidence regarding specific reform effects and content analysis at the micro level of disease prevention and control system in China. Future study should strengthen the rigorousness of study design and focus on the quantitative impacts of reform implementation in China.