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王坤, 毛阿燕, 孟月莉, 严晓玲, 董佩, 胡广宇, 杨玉洁, 邱五七. 北京市公立二级综合医院疾病预防控制工作开展情况[J]. 中国公共卫生, 2020, 36(2): 236-241. DOI: 10.11847/zgggws1124526
引用本文: 王坤, 毛阿燕, 孟月莉, 严晓玲, 董佩, 胡广宇, 杨玉洁, 邱五七. 北京市公立二级综合医院疾病预防控制工作开展情况[J]. 中国公共卫生, 2020, 36(2): 236-241. DOI: 10.11847/zgggws1124526
Kun WANG, A-yan MAO, Yue-li MENG, . Implementation of duty for disease prevention and control among secondary public general hospitals in Beijing city[J]. Chinese Journal of Public Health, 2020, 36(2): 236-241. DOI: 10.11847/zgggws1124526
Citation: Kun WANG, A-yan MAO, Yue-li MENG, . Implementation of duty for disease prevention and control among secondary public general hospitals in Beijing city[J]. Chinese Journal of Public Health, 2020, 36(2): 236-241. DOI: 10.11847/zgggws1124526

北京市公立二级综合医院疾病预防控制工作开展情况

Implementation of duty for disease prevention and control among secondary public general hospitals in Beijing city

  • 摘要:
      目的  了解北京市公立二级综合医院疾病预防控制工作开展情况,为探索制定科学合理的二级医疗机构疾病预防控制工作评价指标体系提供参考依据。
      方法  采用方便抽样方法于2018年8 — 9月在北京市抽取28家公立二级综合医院,对医院疾病预防控制工作开展情况进行问卷调查,并对部分医院的主要负责人进行个人深入访谈,对其疾病预防控制科室设置、人员配置和工作开展情况等进行分析。
      结果  北京市28家公立二级综合医院中,有50.0 %的医院独立设置了疾病预防控制科,平均人员数量为6.3人,专职和兼职人员分别为2.4和3.9人;文化程度本科人员占50.3 %,中级职称人员占48.0 %,科室人员专业以护理和临床专业较多,分别为42.4 %和31.6 %。调查医院的疾病预防控制各项工作履职情况存在较大差异,其中传染病诊治管理与死亡监测等工作整体开展较好,重点传染病管理、免疫预防等工作开展情况一般,慢性非传染性疾病与伤害监测、精神卫生服务、职业健康管理、环境与健康监测等职能开展情况差异较大。
      结论  北京市公立二级综合医院疾病预防控制科科室与人员配置情况整体较好,但工作承担和履职情况存在差异,应进一步明确医疗机构疾病预防控制工作的范围和补偿标准,探索科学合理的评价机制。

     

    Abstract:
      Objective  To investigate the implementation of obligatory disease prevention and control services in secondary public general hospitals in Beijing city and to provide references for developing rational indicator system for asseessing the performance of the medical institutions in disease prevention and control practice.
      Methods  Using convenient sampling, we conducted a questionnaire survey on general condition and disease control and prevention services during 2015 – 2017 among 28 secondary public general hospitals in Beijing city from August to September 2018. Personal in-depth interviews were also carried out among some of the managers of the the hospitals.
      Results  Of the hospitals surveyed, 50.0% established departments for disease prevention and control service and the average number of personnel for one of the departments was 6.3 (2.4 for full-time staff and 3.9 for part-time staff). Among all the staff of the departments, 50.3% had undergraduate education; 48.0% were with intermediate professional titles; 42.4% and 31.6% were nurses and clinicians. There were great disparities in the performance of disease prevention and control sevices provided by the hospitals surveyed, especially in the performances of chronic non-communicable diseases and injury surveillance, mental health service, occupational health management, and health monitoring. Infectious disease diagnosis and treatment and mortality registry were among the service items well executed by the hospitals surveyed; while, major infectious diseases management and preventive immunization were the items normally undertaken by the hospitals.
      Conclusion  The personnel allocation for the departments responsible for disease prevention and control is generally good among secondary public general hospitals in Beijing city but the disease prevention and control services provided by the hospitals are divesified, suggesting that efforts should be taken for the improvement in administrative management on the preventive medical services of the hospitals.

     

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