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目的了解浙江省基层卫生机构疾控工作开展情况,分析存在的主要问题,并提出建议。方法在全省以分层随机抽样原则抽取32个县(市、区)作为调查点,再各随机抽取2个基层卫生机构作为样本机构,开展问卷调查。结果政府对于基层卫生机构的拨款与补助呈现逐年增长的趋势,但其中防保组所占比例较小。2007年基层卫生机构平均在岗人员数为49.5人,其中防保组人员5.6人,占11.3%。2007年项目平均开展比例为92.4%,开展程度为81.1%。结论我省基层卫生机构的疾病预防控制工作存在相对投入少、人员业务素质不足、服务功能不完善等问题。今后要强化基层卫生机构承担的疾病预防控制职能,构筑以基层卫生机构为基础的疾病预防控制体系。
Objective To understand the development of disease control in primary health care institutions in Zhejiang Province, analyze the main problems and put forward suggestions. Methods Thirty-two counties (cities, districts) were selected as stratified random sampling in the province as survey points, and 2 grass-roots health agencies were randomly selected as sample organizations to conduct questionnaire survey. Results The government’s grants and subsidies to grassroots health institutions showed a trend of increasing year by year, but among them, PICC took up a smaller proportion. In 2007, the average number of grass-roots public health agencies was 49.5, including 5.6 of the group, accounting for 11.3%. The average proportion of projects carried out in 2007 was 92.4% and the level of development was 81.1%. Conclusion There are some problems in the prevention and control of disease at primary health care institutions in our province, such as less relative input, insufficient staffing, inadequate service functions and so on. In the future, we will strengthen the disease prevention and control functions undertaken by grassroots health institutions and establish a disease prevention and control system based on grass-roots health institutions.