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目的了解北京市二级以上医疗机构疾控处或科设置、人员和职能履行情况,为制定北京市医疗机构疾病预防控制政策提供参考依据。方法采用普查的方法,对北京市144家二级以上医疗机构进行问卷调查。结果有效调查的117家医疗机构中设立疾控处(科)的占86.21%,平均编制1~3名工作人员,75.06%是临床医学和护理学专业,23.48%(27家)医疗机构的疾控处(科)承担了规定的所有疾控职能。二级和三级医院疾控处(科)设立情况和状态差异无统计学意义,疾控处(科)采取独立设置的医疗机构的隶属关系差异有统计学意义(χ2=53.451,P=0.001),二级和三级医院疾控处(科)人员疾控工作能力比较,其中职称、专业、工作经验差异有统计学意义(χ2=22.421、12.945、7.193,P均<0.05)。结论医疗机构疾控处(科)制度刚刚建立,尚处于探索阶段,受制于医院行政隶属、工作机制等多方面因素影响,还存在许多问题,有待进一步完善。
Objective To understand the implementation of CDC or departmental settings, personnel and functions in medical institutions above Grade II in Beijing and provide reference for the formulation of the disease prevention and control policies of medical institutions in Beijing. Methods A census method was used to conduct a questionnaire survey on 144 second-class medical institutions in Beijing. Results Of the 117 medical institutions surveyed, 86.21% of the 117 medical institutions were established with an average of 1 to 3 staff members and 75.06% of them were clinics and nursing major and 23.48% (27) of medical institutions Control Branch (Section) assumed all the provisions of the CDC functions. There was no significant difference in the establishment and status of CDC (Grade Two) and Grade Three hospitals (χ2 = 53.451, P = 0.001) ), Grade II and Grade III Hospital CDC (Branch) personnel ability to control diseases and diseases comparison, including professional titles, professional, work experience difference was statistically significant (χ2 = 22.421,12.945,7.193, P <0.05). Conclusion The institution of CDC (Section) in medical institutions has just been established and is still under exploration. Subject to many factors such as hospital administration and working mechanism, there are still many problems to be further perfected.