Study On Comprehensive Evaluation System For Infectious Diseases Classification And Supervision

Background The government has continuously promoted the reform of the regulatory system,streamlined administration and delegated power,integrated management with decentralization,optimized service reform,and accelerated the establishment of a during-and-after supervision system.The "dual randomness and one openness" regulatory model was put into effect in an all-round way."delegation,management,service" put forward new tasks and requirements for health supervision.At the same time,how to make effective use of limited resources for health supervision,improving the efficiency of law enforcement and intensifying law enforcement efforts requires that,we establish a more reasonable supervision and evaluation system for infectious disease prevention and control,and improve the working mechanism of "Internet + health supervision and evaluation".Objective and worth To understand the outstanding problems existing in medical and health institutions in fulfilling the legal obligation of prevention and treatment of communicable diseases and determine the key points for supervision.To verify the feasibility of supervision and control of classified surveillance of infectious diseases and to establish a basis for business indicators for the establishment of a working mechanism of "Internet + health supervision and evaluation" To explore ways to combine the results of supervisory evaluation with day-to-day administration and the "Internet + Health Surveillance Data Management".To provide the basis for promoting the reform of the government supervisory system,increasing the scope of delegation,management and service,and accelerating the establishment of a during-after regulatory system.Method Using the method of current situation research,the supervision and inspection and comprehensive evaluation of medical and health institutions are carried out according to the “Evaluation Table for Comprehensive Evaluation of Infectious Diseases Prevention and Control”.This paper analyzes and compares the results of comprehensive evaluation of infectious disease classification in different years and different regions,and discusses the rationality of evaluation contents and rating standards.To collect the opinions of the staff of the health supervision and medical and health institutions in the evaluation work on the evaluation items,supervise the evaluation contents,the scoring standards and the evaluation principles,and gradually revise and improve the comprehensive evaluation of the infectious diseases classification supervision of the medical and health institutions program.Results In 2016,24,665 medical and health institutions were evaluated comprehensively,outstanding units accounted for 27.46%;qualified units accounted for 67.50%.In comparison with 2015,2016‘s evaluation results are closer to normal distribution,so it is clear that the 2016 “Evaluation Table for Comprehensive Evaluation of Infectious Diseases Prevention and Control” is more reasonable.In year 2016 excellent units consist mainly of level 3 hospitals and blood centers;qualified units were level 2 hospitals;most of the key supervision units were level 1 and below.It also shows that in medical institutions’ infectious disease prevention and control work,level 3 is better than level 2,level 2 is better than level 1,and level 1 is superior to other unranked.In the classification project,the average standardized scores were as follows: legal infectious diseases reporting 85.26%,inoculation 83.11%,integrated management 82.00%,medical waste disposal 81.84%,infectious disease control disinfection and isolation were 78.68%,81.41%,70.73% for safety of pathogenic micro-organism laboratory.In 2016,of 24665 medical and health institutions regarding key item detection,there were 18 unqualified units,0.07%(18/24665),including one level 2 hospitals accounted for 5.56%(1/18),six level 1 hospitals accounted for 33.33%(6/18)and 11 other medical institutions accounted for 61.11%(11/18).Comprehensive evaluation experiments have aroused the innovation of work model,41.67 percent of the provincial government’s comprehensive assessment results of the classification of communicable diseases were applied to the administrative management of medical institutions,and 25.00% of the provinces combined with the comprehensive evaluation results of the classification supervision of infectious diseases to conduct health supervision and innovation;16.67% of the provinces(cities)actively promoted the "Internet + Health Surveillance Data Management" by using the comprehensive evaluation pilot work of the classification supervision of infectious diseases.Conclusion 2016 infectious disease prevention classified supervision comprehensive evaluation measure system is feasible.A comprehensive evaluation of the prevention and control of infectious diseases should be gradually and comprehensively implemented.At the same time,we should rely on the comprehensive evaluation of the surveillance and classification of infectious diseases in medical and health institutions,promote the informationization of health supervision,and improve the working mechanism of "Internet + health supervision and evaluation".Supervision of infectious diseases should start with medical institutions.In prevention and control of infectious diseases in accordance with the law,pay close attention to the level 2 and below as the key difficulties.In particular,strengthen the laboratory bio-safety of pathogenic microorganisms and law enforcement supervision of prevention and treatment of infectious diseases in private medical institutions.Various agencies have been making innovations and actively promoted the comprehensive evaluation of the classification and supervision of infectious disease prevention and control.The methods of combining the results of supervision and evaluation with routine administration and the mode of "data management of Internet + health supervision" were tried,and provided basis for establishing a during-and-after regulatory system.