| Research objectives:By investigating the current situation of infectious disease prevention and control ability of grass-roots centers for disease control and prevention in Sichuan province,the comprehensive score of evaluation of infectious disease prevention and control ability of each center was analyzed,the internal influencing factors and predicament barriers of infectious disease prevention and control ability were discussed,and constructive comments and suggestions were put forward based on the results of statistical evaluation.This study provided a reference basis for improving the ability of prevention and control of infectious diseases in Sichuan provincial center for Disease Control and Prevention.Objects and methods:By designing a questionnaire,collecting and investigating relevant data information of grassroots CDC and CDC personnel in Sichuan province,TOPSIS method was used to comprehensively analyze relevant indicators of infectious disease prevention and control capacity of Sichuan Province disease prevention and control system,and visual display of analysis results was conducted through the Arc GIS10.8GIS.Multiple linear regression analysis was used to study the correlation between the infectious disease prevention and control ability of CDC and the infectious disease prevention and control personnel ability,and to explore the influencing factors of infectious disease prevention and control ability.Results:1.Sichuan CDC currently has a total of 12,659 staff members,including 9,767 staff members of grass-roots county CDC.The staff members of grass-roots CDC are mainly female,middle-aged employees aged 36-55,with bachelor’s degree and junior and intermediate titles,accounting for 55.90%,52.84%,49.00% and 73.47%,respectively.Health technicians accounted for 80.66% of the total number of employees.Among them,63.20% female,50.53% young people under 35,62.69% bachelor’s degree and 45.06% junior titles accounted for the highest proportion of infectious disease prevention and control and laboratory inspection personnel surveyed.From the position distribution of staff in the grass-roots centers for Disease control and prevention,the average educational background of staff engaged in infectious disease prevention and control and laboratory testing was higher than that of staff engaged in other positions(t=1.967,P<0.05).However,at the same time,the proportion of staff with bachelor degree or above in county-level centers for Disease control and prevention(51.62%)was lower than that in provincial centers(80.55%)and municipal centers(74.39%).2.TOPSIS method was used to evaluate the infectious disease prevention and control ability of grass-roots centers for Disease control and prevention in all regions of Sichuan Province.From the score distribution of the comprehensive evaluation of infectious disease prevention and control ability in each dimension,the comprehensive ability score of units in each dimension showed a right-skewed distribution,indicating that the number of units with low scores was more than that with high scores.Among them,the skewness distribution is more obvious in the ability to handle abnormal response to vaccination,the ability to make policy for prevention and control of infectious diseases,and the ability to research.In addition to business training and guidance,the comprehensive evaluation scores of the other seven dimensions of Chengdu grass-roots CDC were higher than those of other cities(prefectures).Among187 county-level centers for Disease Control and Prevention in Sichuan,94(50.27%)of them scored 0 in the comprehensive evaluation of their scientific research ability,and they were widely distributed in the western and eastern fringe areas of Sichuan.3.From the distribution of the comprehensive evaluation scores of the eight dimensions of infectious disease prevention and control ability,the regions with the top comprehensive evaluation scores were mainly distributed in the central and eastern parts of Sichuan Province,while the regions with the bottom comprehensive evaluation scores were mainly distributed in the western part of Sichuan Province and the marginal mountainous areas.4.Multiple linear regression analysis model showed that the organization level of CDC,educational level of staff,individual comprehensive quality score,familiarity with professional database and statistical software,and holding of medical practitioner qualification certificate were the factors affecting the prevention and control ability of unit infectious diseases.Conclusions:1.Grassroots centers for disease Control and prevention should introduce highly educated talents in time to supplement the short board of talent development.At the same time,professional and technical personnel are encouraged to actively participate in on-the-job academic education,further study and medium-and long-term training,and continue to promote on-the-spot epidemiology training and standardized training for public health physicians,so as to continuously improve the scientific research ability,statistical analysis ability and comprehensive quality of disease control personnel.To remedy the shortage of highly educated personnel,infectious disease prevention and control personnel,weak scientific research capacity and other problems in grassroots CDC.2.The organization level of CDC is an important factor affecting the prevention and control ability of infectious diseases.The health administration departments should attach importance to the construction of the centers for Disease Control and prevention,and include the construction and guarantee of the centers into the government assessment.All regions,especially the grass-roots centers for Disease Control and Prevention in western Sichuan,should actively strive for financial funds,develop unit hardware and software facilities,actively participate in the grade evaluation of provincial centers for disease control and prevention,and constantly strengthen unit capacity building through evaluation.3.In view of the lack of laboratory testing capacity of grassroots CDC,all regions should establish regional public health laboratories based on city and state,integrate county and district CDC laboratories to carry out testing equipment and projects that are rarely or infrequently carried out,reduce the repeated investment of large high-precision testing equipment by county and district,and retain the basic testing capacity of county and district CDC laboratories.To alleviate the difficulties in the industrialization of biomedical laboratory results and slow personnel training,improve the utilization rate of experimental resources and the industrialization rate of scientific research results.4.Continuously increase the financial input and policy preference of grassroots CDC in western Sichuan Province,strengthen the capacity building of CDC in infectious disease prevention and control in western Sichuan Province in a planned way based on the actual needs of regional infectious disease prevention and control,and remedy the unbalanced development of infectious disease prevention and control capacity in central and western Sichuan Province.5.All regional centers for disease control and prevention shall,according to the regional needs of infectious disease prevention and control,give priority to the prevention and control of infectious diseases,increase the training of staff for infectious disease prevention and control,and increase the investment in infectious disease prevention and control facilities,so as to ensure timely and correct response in public health emergencies and control the harm of infectious diseases in a minimum range. |
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