Changes of the number of disease control and prevention staffs at provincial level in China from 2002 to 2018: an interrupted time series analysis
10.3760/cma.j.cn112150-20201116-01373
- VernacularTitle:2002—2018年中国省级层面疾病预防控制人员数量变化的间断时间序列分析
- Author:
Shasha YUAN
1
;
Wuqi QIU
;
Fang WANG
;
Jun ZHAO
Author Information
1. 中国医学科学院 北京协和医学院医学信息研究所，北京 100020
- Keywords:
Health care reform;
health workforce;
Disease control and prevention;
Interrupted time series analysis
- From:
Chinese Journal of Preventive Medicine
2021;55(10):1192-1195
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the change of the number of staff at the provincial center for disease control and prevention (CDC) in China before and after the new health care reform.Methods:The data was from publicly reported health statistics yearbooks from 2002 to 2018. Descriptive analysis and interrupted time series analysis (ITS) were conducted in Stata/SE 15.Results:The decreasing trend of total number and average number of CDC staff per ten thousand people further exacerbated in the eastern and central areas after the new health care reform, while the total number of CDC staff in the western area changed from a decreasing trend to an increasing tend and the decreasing trend of average number of CDC staff per ten thousand people slowed down. After controlling the provincial and time fixed effects, the ITS analysis showed that before the reform, the number of CDC staff in central area showed a decreasing trend ( P=0.012). After the reform, no statistically significant changes were observed in the number of CDC staff in the eastern, central and western areas increased instantaneously ( P>0.05), and the decreasing trend (slope) of the number of CDC staff in the eastern and central areas further increased. The number of CDC staff in the western area changed to an increasing trend ( P>0.05). Conclusion:After the new health care reform, the total number and average number of CDC staff at the provincial level have not improved, therefore targeted reform strategies are needed to reverse the continuous reduction of CDC staff and reflect regional differences in the future.
