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目的:分析社区疾病预防控制工作存在的问题,探索有效完成社区疾控工作的方法和途径。方法:现况调查情况。通过分层随机抽样,调查社区卫生服务中心开展疾控工作的完成程度、经费状况、人员基本情况和培训情况。结果:目前社区卫生服务中心开展疾控工作的完成程度平均为74.9%;对疾控工作的拨款占机构总投入的17.1%,疾控支出占总支出5.9%;从事疾控工作人员平均5.6人,占11.3%,人员以高中及以下水平学历为主,无职称和无医学背景的人员分别占10.8%和26.3%;疾控人员参加Ⅰ、Ⅱ类学分培训的分别为3.93人天和12.87人天;社区疾控工作缺乏统一的工作规范和业务指导。结论:经费投入不足、人员素质较低、缺乏规范指导成为制约社区疾控工作开展的主要原因。因此要提高思想认识,转变工作观念;加强经费投入,加强队伍建设;明确工作职责,规范有效指导;加强部门协调。
OBJECTIVE: To analyze the existing problems in community disease prevention and control and to explore ways and means to effectively accomplish community disease control and prevention. Method: Status survey. Through stratified random sampling, the completion of the CDC work carried out by community health service centers, the status of funding, the basic conditions of personnel and training were investigated. Results: At present, the completion rate of CDC work by community health service centers is 74.9% on average; funding for disease control and control work accounts for 17.1% of the total investment and disease control expenditure accounts for 5.9% of total expenditure; and disease control and control staffs average 5.6 people , Accounting for 11.3% of the total number of staff. The majority of the staff were educated with high school education and below, accounting for 10.8% and 26.3% respectively for those with no title and no medical background. The number of CDC personnel participating in the training of Grade I and II were 3.93 and 12.87 respectively Day; community CDC lacks a unified work practices and business guidance. Conclusion: Inadequate funding, low quality of personnel, lack of normative guidance has become the main reason for restricting community CDC. Therefore, it is necessary to raise our awareness of ideology and change our concept of work. We should increase funding and strengthen team building. We should clarify work responsibilities, standardize effective guidance and strengthen departmental coordination.