| Research purpose:Institution for disease prevention and control plays an irreplaceable role inChina’s social development, which is not only the component of public healthagency, but also bears sacred mission. Over several decades of development,China’s disease prevention and control has increasingly developed and grownstronger. Following the footstep of new era, laboratory construction of institutions fordisease prevention and control has developed rapidly. The research is aimed tocomprehensively understand the current situation of health resource allocation andtesting capacity of all levels of institutions for disease prevention and control in JilinProvince by investigating9regional institutions for disease prevention and controlduring2011-2013and put forward relevant suggestion, reasonably allocate the healthtesting resources in the whole province and enhance health testing capacity of allregions so as to lay the foundation for the promotion of establishing sound and perfectdisease prevention and control system in the whole province.Research method:The research takes the way of general investigation, which is organized andimplemented by Jilin Provincial Center for Disease Prevention and Control. Researchgroup has designed the questionnaire by combining with the practical situation of theprovince and taken unified training to the investigators of9regional (9municipallevels and51district levels) institutions for disease prevention and control during2011-2013by referring to Guidance on Laboratory Construction of Provincial,District-level, County-level Centers of Disease Prevention and Control issued by theMinistry of Health and National Development and Reform Commission. They haveaudited the final data by specially-assigned persons, then sorted up and reported. After summarizing the collected data information, they have set up corresponding databaseby applying Excel software for data input and verification and taken statistic analysisto input data by using SPSS13.0statistical software.The investigation contents of this research mainly include the following aspects:one is the nature, personnel and other basic information of all levels of institutions fordisease prevention and control; the second is the laboratory instrument and equipmentconfiguration condition of all levels of institutions for disease prevention and control;the third is the laboratory testing capacity development of all levels of institutions fordisease prevention and control; the fourth is the laboratory construction area of alllevels of institutions for disease prevention and control; the fifth is the possessingcondition of dedicated laboratories of all levels of institutions for disease preventionand control.Results:1. Condition of human resource: The age structure of persons in district-level andcounty-level institutions for disease prevention and control in Jilin Province is mainly45-54age group; secondly follows35-44age group; while the proportion of age under25years old and25-34age group has been on the decrease. For professional titles indistrict-level institutions for disease prevention and control, intermediate professionaltitles are dominated, while the number of vice senior titles and primary titles arerelatively small; in the municipal-level institutions for disease prevention and control,persons with bachelor degree take the majority, followed by college degree, whilepostgraduates take up small proportion-7.08%; in the county-level institutions fordisease prevention and control, college students are the majority and secondary schoolstudents take the second.2. Condition of health resource allocation: in the municipal-level andcounty-level institutions for disease prevention and control, the number of persons inpublic health is larger than that in testing technology; while the proportion oflaboratory technicians in municipal-level institutions for disease prevention andcontrol during2011-2013has decreased; seeing from the main scope of practice ofpersons in municipal-level institutions for disease prevention and control, healthtesting takes the dominant position compared with other four scopes of practice, but the health testing takes up small proportion in county-level institutions for diseaseprevention and control. The per-capita construction area of municipal-levelinstitutions for disease prevention and control is72m2, with four reaching100%in therate of reaching the standard. The per-capita construction area of county-levelinstitutions for disease prevention and control is42m2. The average proportion oflaboratory construction area of all municipal-level and county-level institutions fordisease prevention and control in overall floorage of institutions for diseaseprevention and control is between30.00%-36.00%, failing to reach the standard ofproportion of laboratory construction area in overall floorage of institutions fordisease prevention and control specified by state. P2laboratory is the largest innumber, totaling71, and secondly is100-class purification laboratory. In county-levelinstitutions for disease prevention and control, AIDS preliminary screening laboratorytakes up the largest proportion, while the number of microbiological testing andphysical and chemical testing laboratory is slightly low.3. Condition of instrument and equipment: the categories and rate of reaching thestandard of instrument and equipment in municipal-level institutions for diseaseprevention and control have been on the increase by years and the normal operationrate of instrument and equipment is over85%; the category and unit number ofinstrument and equipment in county-level institutions for disease prevention andcontrol basically remain unchanged and the rate of reaching the standard has been onthe increase by years. In2013, among61district-level, municipal-level andcounty-level centers for disease prevention and control,8units have reached thestandard of instrument and equipment configuration, with the standard-reachingproportion of13.11%.4. Condition of testing capacity: in2013, municipal-level centers for diseaseprevention and control averagely carried out166A-class testing items (the standard is226items) and the development rate of testing items is57.08%-87.17%, averagely73.06%; county-level centers for disease prevention and control averagely carried out87A-class testing items (the standard is118items) and the development rate oftesting items is57.08%-87.17%, averagely73.06%(national standard is larger than85%). Among61district-level and county-level institutions for disease prevention and control,10units have reached the standard of testing item implementing rate, with thestandard-reaching proportion of16.39%.Conclusion:By the end of2013, the constitute proportion of ages in25to34years old ofskeleton disease control agency personnel was less. The constitute of professionaltechnology level municipal disease control institutions remains relatively reasonable.However, the senior title proportion in county agency is relatively small. Theeducation in municipal disease control agency was mainly bachelor’s degree. Theeducation in county agency was mainly college degree, but had a low proportionof graduate students. The per capita gross area of the municipal CDCs was72square meters. There were4disease control institutions that had a rate of100%standards. The per capita gross area of county level CDCs was42squaremeters per capita. The A average equipment in City CDC was93, and the theaverage compliance rate was81.56%. The A average equipment in county CDC was48, and the the average compliance rate was74.15%(national standard is more than90%). The average A project carriede out detection in municipal CDC is166(standard226), the average detection project carry out rate of73.06%. The average A projectcarriede out detection in county CDC is87(standard118), the average detectionproject carry out rate of73.94%(national standard are greater than85%). There were8units standarded in61cities and county level CDCs in province, standards unit ratiowas13.11%. There were a total of10testing projectrate standard,and the standard ratewas16.39%. |
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