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Comprehensive Evaluation Research On Capacity-Building Of Institutions For Disease Control And Prevention In Shenzhen City

Posted on:2009-11-27Degree:MasterType:Thesis
Country:ChinaCandidate:W M ZhongFull Text:PDF
GTID:2144360275471614Subject:Epidemiology and Health Statistics
Abstract/Summary:PDF Full Text Request
Objective:Through completely and systematically learning about the human resource, financial resource, material resource, emergency capacity, inspection capacity, public function in the institutions of disease control and prevention in Shenzhen City, reasonably evaluate these institutions'capacity, explore and summarize the result and experience in the process of public health system construction, provide theory basis for further consummating public health system and institutions transformation, also provide evidence-based basis for public health institutions capacity-building in future.Methods:The whole study work was set about in the field, based on the facts, with much theories and methods of statistics, epidemiology, economics, sociology, and consulted ideas of some experts and public health workers. This study mainly adopted such methods as literature research, field investigation, deeply talking, expert consultation, comparison research methods. We put in data and built up database by Excel 2003, then using SAS 8.02, SPSS 13.0, and DPS 3.01 to complete the statistical analysis. Results:⑴Human resource: There were 7 CDC, 20 street institutions for disease control and prevention, 1102 authorized person, 2067 workers. Person scale had been being expanded, but still not enough. Personnel structure was relatively reasonable and personnel synthetic diatheses were generally higher.⑵Financial resource: Public health service charge proportion increased gradually, but the finance input still not enough, leading to some public function to abolish, sideline business and clinic service weighted heavily. Revenue and expenditure gradually grew to achieve balance.⑶Material resource: Infrastructure construction developed quickly, inspection capacity promoting the capacity-building of institutions.⑷Scientific capacity: These institutions got some achievement in the scientific research, and application of base research promoted that the routine work was carried out.⑸Emergence capacity: Outburst public health event system, organization construction, human resource, resource storing had been improved greatly.⑹Public function: Three Years system construction advanced the public health function programs to be carried out. Average development programs of three levels'institutions were respectively 81.4%, 69.8% and 65.9%.⑺Comprehensive evaluation: Population equitable Gini coefficient, public health technicists and institutions were respectively 0.098 and 0.084, in an equitable state. Geography equitable Gini coefficient, public health technicists and institutions were respectively 0.203 and 0.121, also in an average level. Coming true of these institutions with comprehensive methods, got the ranking order, and divided them into there levels.Conclusion:This research deeply studied the contradictories and problems of public health, and revealed the effect and problems in Three Years public health Construction in institutions for disease control and prevention in Shenzhen. We expected this study could contribute to the reform and development of Shenzhen public health service, to raise suggestions and measures as follows:⑴Reasonably allocate public health resource, suitably increase authorized personnel number.⑵Reform physical labor personnel system, gravitate and stable high level personnel.⑶Adjust knowledge structure, raise personnel diathesis.⑷Get down administration and rear service workers, and come true rear service to be sociable.⑸Identify the duties of government, build up finance insurance and support system.⑺Set up stable and eligible input mechanism, boost input efficiency.⑻Standard repaid service, step by step push deepen reform.⑼Correctly guide management model, consummate invigorative mechanism.⑽Consummate infrastructure construction, raise inspection capacity.⑾Strengthen disposing ability of accidental public health events.⑿Perfect matched systems after transconformation of institutions, and so on.
Keywords/Search Tags:Institutions for disease control and prevention, Capacity-building, Comprehensive evaluation, Equity assessment, Human Resource, Emergency capacity, Public function
PDF Full Text Request
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