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目的了解四川省疾病预防控制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分布和地理分布的公平性。方法采用问卷调查方法,收集四川省市(州)和县(区)级所有疾病预防控制中心(CDC)慢性病防控的部门设置、人力资源和经费配置等信息。同时,收集各市(州)2009年人口数和地理面积,利用洛伦茨曲线和基尼系数测算公平性。结果部门设置:市(州)级和县(区)级CDC设有专门慢性病防控科所的比例分别为14.29%和1.65%,设置以慢性病防控为主要职责的科所比例分别为9.52%和4.40%。人力资源:全省慢性病防控人数、专职慢性病防控人数占CDC总人数的比例分别为3.88%和1.23%;33.9%的慢性病防控工作人员接受过本科及以上教育;94.2%的人员具有医学背景;9.7%的人员有高级职称;76.1%的人员从事慢性病防控工作年限在5年以下;85.8%的慢性病防控工作人员所在部门不以承担慢病防控为主要职责,仅承担本单位慢病防控相关工作。经费配置:市(州)级和县(区)级CDC慢病防控经费占同级CDC总业务工作经费的比例分别为1.14%和0.91%。资源公平性:慢病防控科所、慢病防控人员、专职慢病防控人员和慢病防控经费按人口配置的基尼系数分别为0.646、0.287、0.355和0.421,按地理面积配置的基尼系数分别为0.902、0.551、0.733和0.761。结论四川省疾控系统慢性病防控专职部门所占比例较少,人员数量不多,经费投入不足,基础配置仅部分考虑到了人口公平性,地理面积配置方面存在严重不公平状态。
Objective To understand the status quo of the basic disposition resources of chronic disease prevention and control departments of disease control and prevention system in Sichuan Province, human and financial resources as well as the fairness of population distribution and geographical distribution. Methods A questionnaire survey was conducted to collect information on departmental settings, human resources and fund allocation for chronic disease prevention and control of all CDC centers in cities (prefectures) and counties (districts) of Sichuan Province. At the same time, the population and geographical area of each city (state) in 2009 are collected, and the fairness is calculated by using the Lorenz curve and the Gini coefficient. Results The department setting: the proportions of CDC with specialized chronic disease prevention and control stations at municipal (prefecture) level and county (district) level were 14.29% and 1.65% respectively, and the proportion of establishments with primary responsibility for prevention and control of chronic diseases was 9.52% And 4.40%. Human resources: The proportion of people with chronic disease prevention and control in the province and the number of full-time chronic disease prevention and control accounts for 3.88% and 1.23% of the total number of CDC respectively; 33.9% of them have undergraduate education and above; 94.2% Background; 9.7% of staff have senior professional titles; 76.1% of staff engaged in chronic disease prevention and control work in less than 5 years; 85.8% of chronic disease prevention and control staff where the department is not responsible for taking chronic disease prevention and control as the main responsibility, Chronic disease prevention and control related work. Funding allocation: The proportion of funding for prevention and control of chronic disease at CDC level (city) level and county level (CDC) at the same level accounted for 1.14% and 0.91% respectively. Resource fairness: The Gini coefficient of population distribution of chronic disease prevention and control department, chronic disease prevention and control personnel, full-time chronic disease prevention and control personnel and prevention and control of chronic disease were 0.646, 0.287, 0.355 and 0.421 respectively, which were configured according to geographical area The Gini coefficients were 0.902, 0.551, 0.733 and 0.761 respectively. Conclusion The proportion of chronic diseases prevention and control specialized departments in disease control and control system in Sichuan Province is relatively small, with a small number of staff and insufficient funding. The basic configuration only partially considers population fairness and there is a serious unfairness in the allocation of geographical area.