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目的探讨唐山市免疫规划资源变化分配情况,为进一步优化免疫规划资源提供数据参考。方法采用描述性流行病学研究方法对唐山市2010年、2014年免疫规划年报数据进行回顾性分析。结果 2014年与2010年相比,唐山市预防接种门诊虽然略有变化,但对该市免疫规划服务影响不大。接种单位人员职称与专职人员构成城乡差异有统计学意义(职称:χ~2_(2014年)=313.09,χ~2_(2010年)=251.70,P<0.01;专职人员:χ~2_(2014)=62.02,χ~2_(2010)=54.18,P<0.01)。2014年接种单位专职人员构成52.37%,明显低于2010年的59.50%。2014年人员培训频率低于2010年。人均乡级免疫规划人员2.07/万人口,兼职构成比达47.63%,其他无职称人员占27.42%。结论进一步改善免疫规划人员配置,提高基层免疫规划人员业务素质,并加强人员培训,是提高该市免疫规划服务质量的重要手段。
Objective To explore the distribution and changes of immunization planning resources in Tangshan and provide reference for further optimization of immunization planning resources. Methods A descriptive epidemiological study was conducted to analyze the annual data of immunization programs in 2010 and 2014 in Tangshan City. Results Compared with 2010, there was a slight change in vaccination clinics in Tangshan City in 2014, but it had little effect on immunization planning services in the city. Vaccination staff and professional staff constitute a significant difference between urban and rural areas (title: χ ~ 2_ (2014) = 313.09, χ ~ 2_ (2010) = 251.70, P <0.01; full-time staff: χ ~ 2_ (2014) = 62.02, χ ~ 2_ (2010) = 54.18, P <0.01). In 2014, the number of full-time staff in vaccination units constituted 52.37%, significantly lower than 59.50% in 2010. 2014 staff training frequency is lower than in 2010. Per capita township immunization planners 2.07 / million population, part-time constitute a ratio of 47.63%, other non-title staff accounted for 27.42%. Conclusions To further improve the allocation of immunization program staff, improve the professional quality of grassroots immunization planners and strengthen personnel training are important means to improve the immunization planning service in the city.