| Objectives:To understand the situation of main laboratory instrument configuration and class A testing capability in the provincial-level,city-level and county-level of disease prevention and control institutions in Xinjiang province,to describe and analyzethe main laboratory instruments and class A inspection ability of the three levels in 2011-2015,explore the existing problems of the main laboratory instrument configuration and put forward reasonable suggestions,in order to provide the decision-making basis for allocating the inspection resources at all levels of CDC in Xinjiang and formulating relative policies.Methods:By using the systematic review method to analyze the national and internationalliteraturess of laboratory instrument configuration and testing capability;Collecting the information from the Chinese basic information system of disease prevention and control,the statistical description methodwas used to analyze the quantity,types and qualified rate of instrument and Class A testing item,chi-square test was used toanalyze the differences between the groups;the interview methodwas used to investigate the influencing factors of class A testing capabilityby interviewing the experts on disease prevention and control;Lorenz curve and Gini coefficient wereused to evaluate the equity of inspection resources distribution in Xinjiang.Results:(1)The qualified ratesof quantity and type inprovincial-level at class A were 73.2% and 78.69%,at class B were 66.95% and 91.76%,at class C were 22.97% and 33.33%;The qualified rates of quantity and type in city-level instrument at class A were 60.86% and 57.86%,at class B were 22.86% and 12.21%,at class C were 21.06% and 19.48%;The qualified rates of quantity and type in county-level at class A were 14.99% and 52.56%,at class B were 2.57% and 3.56%,at class C were 6.62% and 20.49%.(2)The non-equipped instrument in provincial-level at class A were 26 and 52,at class B were39 and 37,at class C were57 and 54;in the city-level at class A were 3 and 3,at class B were 10 and 10,at class C were 27 and 28;in the county-level at class C were 3 and 3.(3)The results of allocating instruments by population wereas follows:the gini coefficients of class A,B,C and the other,were 0.26,0.31,0.26 and 0.41;The gini coefficient of the total assets of three types instruments allocating by population was 0.54.(4)During the last 5 years,the number of provincial-level testing items was 225,and the average numbers of city-level and county-level were 88 and 31,which showed gradually increased trend.(5)The qualified rate of class A testing at provincial-level was 58%,at city-level was 43.81%,at county-level was27.97%.(6)The proportion of professional and technical personnel in the three degree are lower than the national standard,and provincial-level is lower than city-level and county-level.The proportion of college degree and below is 76.56%,and provincial-level is low.Conclusions:(1)Compared with 2011,the increased rate of average types and quantities of equipments in Grade III CDC institutions was:Other laboratory equipment> Category B equipment> Category C equipment> Type A equipment,but none of them met the national standards.(2)In the past five years,the types and quantities of three kinds of equipment of the three-level CDC have all been improved,but the compliance rates of prefectural and county governments are generally biased low.(3)There were cases of duplicate purchasing and resource wasting at three levels of CDC.(4)There is a large gap in three types of instrument at three levels of CDC,up to 205 of which are required to be supplemented by national standards.There are 4,406 pieces of equipment to be replaced at prefectural level and 14,137 pieces at county level.(5)The number of CDC institutions in Xinjiang is calculated according to the service population.Class A and C equipment are in a relatively fair stage,Class B equipment is in a relatively fair stage,and other laboratory equipment is in a stage of exceeding the warning level.Grade III disease control The total assets of the three categories of institutions are calculated based on the service population,and the total assets of the equipment are in a serious unfair phase.(6)In the past five years,the number of Class A test items in provincial CDC laboratories and the compliance rate have remained unchanged,with a slight increase in prefectural and county prefectures.However,To the national standards,especially in southern four states(Aksu,Kezhou,Hotan,Kashgar region and its county-level CDC)in the lowest level in Xinjiang. |
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