The Study On Current Status Of Public Health Resources Allocation And Test Capacity Among County-Level Centers For Disease Control And Prevention In Jining

To well understand the current status of preventive health resources allocation, equipping level of instruments and the practical test capacity among the Centers for Disease Control and Prevention in Jining, a survey covering 12 county-level centers was carried out from September to December in 2004. Methods: A complete questionnaire survey was carried out among 12 county-level centers for Disease Control and Prevention, with the key data coming from the end of 2003. Descriptive analysis was used to study the current status among the county-level Center for Disease Control and Prevention, according to Working Assessment Criteria of Center for Disease Control at county level (2003 pilot) issued by health department of Shandong province. The questionnaire about the evaluation and analysis of test capacity, was designed on the basis of the professional instrument equipping standard and test capacity requirement, put forward in the guide-advice on the construction of center for disease prevention and control, then it was filled in by the relevant personnel, referring to the equipment and utilization status together with the test item. Findings: 1.The personnel' whole quality was not high. The survey's findings show that the manpower quality of public health was low on the whole. The questions were mainly that personnel's structure was unreasonable, the academic levels of personnel were on the low side, mainly consisting of special secondary school and junior college, and the quality was not high; There was a relative lack of the professional and technical personnel of the first line, especially the test personnel, while the administration and logistics were relatively overstaffed. As aresult, the development of the public health industry was restricted seriously. 2.The center's finance input was insufficient .The findings indicate that the Center for Disease Control and Prevention at county level was unable to make ends meet from 2001 to 2003, and in the state of losing wholly. It was reported that the reason for the gap was, the centers concentrated so much energy on SARS prevention and cure that they could not launch activities bringing them money, neither, did they enforce charging monitoring items. Most of the centers did not make advice on policy of health industry's subsidization issued by the nation in 2000 effective completely, and as far as most of the county- level centers were concerned, the financial allocation even could not ensure the employees' basic salary, in order to make up for the salary gap and basic official fund, the centers had to carry out some items to make money by themselves. For the majority of the centers for Disease Control and Prevention at county level lacking in fund, the houses were outmoded, the instruments were backward, and the hardware conditions could reach the requirement of the national standard. As the financial policy was not in position, to survive, most center leaders attached their main energy to making money, they paid more attention to income rather than public health. Thus the fundamental health prevention work was led to come down. 3.The center's instrument equipping level was bad, and the laboratory's test capacity was insufficient .The findings show that, on the whole, both the instrument equipping level and the laboratory' test capacity were low, the lack and inadequacy of fundamental instrument coexisted, and the basic test capacity was not high, to a certain extent, these situations had affected the normal evolution of the industry of Disease Control and Prevention, and they didn't conform with the social and economic development level of Jining. 4.The medical remedy system lost contact with the disease control system, and the information was obstructed.Suggestions: l.Strengthen the legalized management of the Disease Control and Prevention industry. To reinforce the public's health legal awareness, the centers at various levels should launch health law dissemination. Meanwhile, strengthen the enforcement dynamics of the infectious disease's prevention and cure law,and make the prevention work of infectious diseases go along a legalized and standardized management track. 2.Quicken the reform step of the Disease Control system, and reach the national requirement from both hardware and software aspects, according to the national construction criterion. Centers for Disease Control with good conditions at county level should strive for the criterion proposed by the nation. If the conditions permitting, the centers for Disease Control should impose vertical management from head to foot, then the organizations at all levels can really function well.3.Enhance the public health input and optimize the allocation of health resources. Allocate the health resources rationally, make the best use of them, moreover, improve the utility efficiency. At the same time, input should be increased to compensate the debt to public health industry that has been existed for so many years, in addition, make centers for Disease Control be able to complete their own task. The development of public health is a long-term and sustaining process, and it should be suitable for that of national economy, consequently, the disposable input in the short run should be avoided. 4. Besides the reserve of the talent resources, pay attention to the reform of employing mechanism. In terms of recruitment, it can refer to the way in which the civil servants are chosen, recruiting from the society publicly and ensuring talent with good education has equal chance. Meanwhile, on recruitment, the centers should introduce competitive mechanism and incentive mechanism to excite the personnel' enthusiasm, consider the long period of time when it comes to the personnel cultivation, focus on the construction of talent structure, and develop a rational talent echelon, thus they can ensure the Disease Control work has a lasting and stable development.