A Survey On The Attitude And Cognition Of The Staff Of The CDC To The Standardized Training Of Public Health Doctors

Objective To understand the basic situation of personnel in China's disease control institutions,as well as their attitudes and cognition towards the standardized training of public health physicians,and to provide reference for the formulation of standardized training policies for public health physicians in China and the implementation of standardized training for public health physician.Methods County-level disease control and prevention institutions in 24 counties,12 cities,6 provinces were selected by multi-stage stratified cluster sampling.The attitude and cognition of 4,143 health technical personnel to the standardized training of public health physicians were investigated by an online questionnaire survey.292 person-times of 43 group interviews were conducted to understand the problems.difficulties and suggestions of health technical personnel on planning and training.78 managers were interviewed to understand their attitudes,opinions and suggestions on the standardized training of public health physicians etc.Results(1)Basic personnel information.Male to female ratio 1:1.30,people under 45 years old counted the most(65.8%).Bachelor degree mainly(43.9%),major specialized in public health and preventive medicine(45.4%),people engaged in public health related worked for at least 15 years counted 50.9%,intermediate title counted the most(33.6%).There was no difference in gender composition among provincial,municipal and county personnel,but there were significant differences in the composition of age,academic qualifications,profession,related working hours,professional titles.etc.In terms of age,the highest group was 31-35 years old at the provincial level(22.6%)and 41-45 years old at the county level(17.3%).In terms of academic qualifications,undergraduates and masters were the main ones at provincial and municipal level,while undergraduates and junior colleges were the main ones at county-level:The proportion of public health and preventive medicine professionals and those engaged in related work for less than 15 years had decreased from provincial to county-level;In terms of professional titles,intermediate professional titles were mainly at provincial and municipal level,while primary titles were the highest at county and district levels.(2)Supportive Attitudes.The overall support rate for health technical personnel was 75.2%.The county-level support rate was the highest at(81.3%).The higher the age.the lower academic qualifications.the higher the support rate.Personnel in major of public health and preventive medicine have the lowest support rate among all majors(69,7%).Support rate of personnel with less than 3 years working time was significantly lower than that with more than 3 years working time.Logistic regression analysis hints,female were more likely to support the standardized training of public health physicians than male.The higher the age.the lower the academic qualifications.major from preventive medicine to non-medical majors.and the lower the administrative level of the unit.the greater the probability that the subjects in the survey would support the the standardized training of public health physicians.The support rate for administrative staffs was 67.9%.'Not understanding the standardized training of public health physicians'and'subjective refusal' were the main reasons for not supporting.'Subjective refusal'was the main reason at provincial level,while'not understanding the standardized training of public health physicians'at county-level.'Subjective refusal'rated the highest among personnel with Bachelor's degree or above,while'not understanding the standardized training of public health physicians'among personnel with college degree or below.(3)Cognition of training duration.objects.content.form.etc.In terms of training time,the proportion of 6 months was the highest(46.3%)'among which the county-level was the highest(52.2%).Only 11.7%selected for 2 years,among which the provincial level(14.9%)and major of clinical medicine were the highest(16.1%).respectively,In terms of training objects,'undergraduate students who have just graduated from medical majors'and'people who have worked in public health for less than 2 years"were the most selected.In terms of training content.'epidemiological investigation and public health practice' was the most selected.In terms of the main forms of training,'on-site internships'was the most selected(53.9%)and among which the highest was provincial level(60.0%).(4)Cognition and Suggestions of Problems.In terms of health technical personnel.they believed that the main difficulties and problems were shortage of manpower,unreasonable training time limit and unguaranteed treatment,etc.Among them.county and district health technical personnel mainly chose shortage of manpower,and those who have worked for less than 3 years mainly chose unreasonable training time limit.The main recommendations were that training time should be more reasonable.that personnel treatment should be guaranteed during training and that more appropriate training content should be developed.In terms of manageiment personnel,the main difficulties and problems are human resource shortage,insecure treatment of trainees and unreasonable design of training content.Among them,business management personnel think that the treatment of trainees is not guaranteed.while administrative management personnel think that the main problem is human resource shortage.In terms of suggestions,managers mainly proposed to design more reasonable training content,make training time more reasonable and ensure the treatment of trainees during training.ConclusionThe ranks of health technical personnel at the provincial,municipal and county-levels disease control and prevention centers are unbalanced.Personnel in county and district level institutions are relatively old,with low academic qualifications and professional titles,and fewer new staffs.General support for public health physician standardized training,among whom support rate of county and district personnel is the highest,while their administrative mangers support rate is relatively low,and the support rate of personnel who meet the conditions for recruiting is low.The reasons for not supporting the standardized training of public health physicians are different,the provincial level personnel are mainly'subjective rejection',while county and district level take the largest proportion of reasons for'not understanding the planning and training'.The main problems are the shortage of manpower,the lack of guarantee of trainees'treatment and the unreasonable training design.etc.RecommendationsCombing the functions of the Centers for Disease Control and Prevention,taking the talents team construction as the key to improve the disease control and prevention system construction;Strengthen the publicity and mobilization of the pilot program within the CDC on standardized training of public health physician;strengthen the guarantee of training organization.improve supporting policies.and accelerate the development and demonstration of the standardized training system for public health physicians.