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目的:研究下放街道管理对深圳龙岗区基层疾病预防控制和卫生监督工作的影响,为完善基层预防保健体系管理和运行机制提出政策性建议。方法:以问卷调查和深度访谈相结合的方法对深圳龙岗区12家街道卫生监督分所(预防保健所)的运行情况进行研究。相关资料进行统计学分析。结果:深圳市龙岗区街道卫生监督分所(预防保健所)人力资源总体素质水平偏低,基础硬件配置落后,经费来源主要靠业务收入,疾病预防保健工作有所加强,卫生监督监测工作有所减弱。结论:下放街道管理,弱化卫生管理职能,不利于区域卫生统筹;非卫生专业人员进入公共卫生队伍,非卫生专业额外任务增多,影响卫生监督(预防保健)工作正常开展。建议理顺基层预防保健体系管理和运行机制,实行全行业管理,坚持政府主导原则,加大公共卫生投入,加强公共卫生人才队伍建设。
Objective: To study the influence of decentralized street management on prevention and control of grass-roots diseases and health supervision in Longgang district of Shenzhen, and put forward some policy recommendations for improving the management and operation mechanism of grass-roots prevention and health care system. Methods: By means of a combination of questionnaires and in-depth interviews, the operation of 12 street health supervision offices (preventive health centers) in Longgang District, Shenzhen was studied. Related data for statistical analysis. Results: The overall quality of human resources in the Sub-district Health Supervision Branch of the Longgang District of Shenzhen City (Preventive Health Institute) was low and the basic hardware configuration lagged behind. The main source of funding was business income. The disease prevention and health care work was strengthened and the hygiene supervision and monitoring work was weakened . Conclusion: The decentralization of street management and weakening of health management functions are not conducive to regional health co-ordination. The non-health professionals enter the public health workforce and the additional tasks of non-health professions increase. The work affecting health supervision (preventive health care) is carried out normally. It is suggested that the management and operation mechanism of grassroots preventive health care system should be straightened out, the whole industry should be managed, the principle of government dominated, the investment in public health increased, and the contingent of public health personnel should be built.