Reform of operating mechanism of the centers for disease control and prevention
10.19485/j.cnki.issn2096-5087.2021.12.002
- Author:
XU Yan
;
YU Min
;
CONG Liming
;
CHEN Kun
;
ZHU Jiang
;
YE Zhen
- Publication Type:Journal Article
- Keywords:
centers for disease control and prevention；operating mechanism；reform
- From:
Journal of Preventive Medicine
2021;33(12):1199-1202
- CountryChina
- Language:Chinese
-
Abstract:
Objective :To explore the reform of the operating mechanism of centers for disease control and prevention ( CDCs ) in the new era, and to put forward recommendations.
Methods :We collected the financial investment and staffing of CDCs in Zhejiang Province from 2018 to 2020 through China Disease Prevention and Control Information System and Zhejiang Health Statistical Yearbook. We conducted a questionnaire survey among 620 staffs selected by convenience sampling, and a qualitative interview among 40 leaders and experts from CDCs and general hospitals in Zhejiang Province.
Results :By the year 2020, there were 105 CDCs in Zhejiang Province, including 1 province-level, 11 prefecture-level, 90 county-level and 3 development zone-level ones. The revenues were mainly from financial subsidy and business incomes, which were over expenditures. There were 7 008 posts in CDCs, with a staffing allocation ratio of 1.29/10 000. Among the reform measures of operation mechanism of CDCs, the flexible communication between clinicians and public health doctors was highly approved (90.03%); among the reform measures of enhancing the integration of prevention and treatment, further clarifying the public health functions of hospitals and ensuring financial compensation was highly approved (74.01%).
Conclusion :We should further stimulate the endogenous power and vitality of CDCs, strengthen the construction of talent team, promote the active integration of hospitals and CDCs, and improve public health level.
- Full text:疾病预防控制机构运行机制改革研究.pdf
