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.