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目的了解当前安徽省疾控系统慢性病防控部门、人力、财力等基础配置资源的现状及其人口和地理分布的公平性。方法利用2012年安徽省疾控系统慢性病预防控制基本情况调查数据,描述性分析疾控系统慢性病防控机构的部门、人力资源和经费配置等分布情况。根据2012年各地级市的人口数和地理面积,应用洛伦茨曲线和基尼系数测算公平性。结果地级市和县(区)级CDC设有专门慢性病防控科所的比例分别为25.0%和4.0%;以慢性病防控为主要职责的科所的比例分别为31.3%和27.3%。全省慢性病防控人数、专职慢性防控人数占CDC总人数的比例分别为5.3%和1.9%。慢性病防控科所、慢性病防控人员、专职慢性病防控人员和慢性病防控经费按人口配置的基尼系数分别为0.580、0.493、0.513和0.720;按地理面积配置的基尼系数分别为0.683、0.639、0.672和0.924。结论安徽省疾控系统慢性病防控专职部门所占比例较少,专职人缺乏,经费投入不足,人口和地理面积基础配置方面存在不公平状态。
Objective To understand the status quo of chronic disease control and prevention departments in Anhui CDC, manpower, financial resources and other basic allocation of resources and their population and geographical distribution of the fair. Methods Based on the survey data of prevention and control of chronic diseases in disease control and control system in Anhui Province in 2012, the distributive situation of departments, human resources and fund allocation of chronic disease prevention and control institutions in disease control and control system were descriptively analyzed. According to the population and geographic area of each prefecture-level city in 2012, the Lorenz curve and the Gini coefficient are used to calculate the fairness. Results The proportions of special chronic diseases prevention and control centers in prefecture-level cities and prefectures (districts) were 25.0% and 4.0%, respectively. The proportions of departments with chronic disease prevention and control responsibilities were 31.3% and 27.3% respectively. The proportion of people with chronic disease prevention and control in the province and full-time chronic prevention and control people in the total number of CDC was 5.3% and 1.9% respectively. The Gini coefficients of chronic disease prevention and control institutes, chronic disease prevention and control personnel, full-time chronic disease prevention and control personnel and chronic disease prevention and control funds are 0.580, 0.493, 0.513 and 0.720 respectively. The Gini coefficients configured by geographic area are 0.683 and 0.639, 0.672 and 0.924. Conclusion Anhui Province has a low proportion of full-time department of chronic disease control and prevention and control, lack of full-time professionals, insufficient funds and unfair distribution of population and geographic area.