Study On Operational Models Of Xiang/town Disease Control And Prevention Centers In Liuyang In Hunan Province

Objectives: (1) To investigate and evaluate the operational models of operational models of xiang/town disease control and prevention centers in Liuyang. (2) To study and explore the proper operational models and direction of development, so as to provide scientific evidences for further public health reform in Liuyang.Subjects and methods: Used a self-designed questionnaire, we investigate the status quo of 39 xiang/town disease control and prevention centers in Liuyang in 2004. Epidata 3.0 and SPSS 11.0 are used to establish data-base and statistical analysis separately. Statistical methods include one-way ANOVA and RSR synthetic analysis method.Results: There are 39 disease control and prevention centers at xiang/town level. 13 centers of them are independent (model I), 20 centers are state invested with combined function of medical treatment and disease prevention (model II), the other 6 centers are entrusted management (model III). Personnel management of three models are all affected by the governmental administration. Numbers and proportion of human resource for disease control and prevention, professional work, and administration management and logistics between every two models showed no difference. Centers of model III have the least fixed capital and developed little professional work. Centers of model I have more task of health management. The income mainly come from vaccination, and only 60.29% of personal salary come from governmental investment. The mean amount of personal salary in centers of model II is the highest, and it is the lowest in centers of model III. All centers of model II make both ends meet or have surplus. However, 46% of centers of model I are in debt. Using RSR synthetic analysis method, RSR index of capability of centers of model I and model II are higher than those of model III with statistical significantly.Conclusion: There are three models xiang/town disease control and prevention centers in Liuyang city. The models were distinguished as independent (model I), state invested with combined function of medical treatment and disease prevention (model II) and entrusted management (model III). The model II is the dominant. Three models have their own advantages and disadvantages. The capability index of model I and model II are higher than model III.