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中国防痨杂志 ›› 2019, Vol. 41 ›› Issue (7): 790-794.doi: 10.3969/j.issn.1000-6621.2019.07.017

• 短篇论著 • 上一篇    下一篇

北京市各级结核病防治机构实验室配置及人力资源分析

郑之国,孙闪华,丁北川,张洁,洪峰()   

  1. 100035 北京结核病控制研究所
  • 收稿日期:2019-04-10 出版日期:2019-07-10 发布日期:2019-07-09
  • 通信作者: 洪峰 E-mail:hongfengjks@163.com
  • 基金资助:
    首都卫生发展科研专项(首发)(2018-2-3021)

Analysis on laboratory system and human resources at all levels of tuberculosis prevention and control institutions in Beijing

Zhi-guo ZHENG,Shan-hua SUN,Bei-chuan DING,Jie ZHANG,Feng HONG()   

  1. Beijing Research Institute for Tuberculosis Control, Beijing 100035, China
  • Received:2019-04-10 Online:2019-07-10 Published:2019-07-09
  • Contact: Feng HONG E-mail:hongfengjks@163.com

摘要:

采用中国疾病预防控制中心结核病参比实验室2009年设计的全国结核病实验室调查表,对2010、2015和2018年北京市市级及区(县)级结核病防治机构(简称“结防机构”)实验室专业技术人员人力资源相关信息、实验室仪器设备及病原学检查开展项目等信息进行调查,并对调查结果进行对比分析。共发送调查表55份,回收55份调查问卷,有效问卷率为100.0%。2010、2015和2018年北京市结防机构实验室人力资源情况:(1)在性别方面,男∶女分别为1∶2.8(16/44)、1∶3.4(15/51)、1∶2.4(23/55);(2)从事相关工作>5年人员分别为73.3%(44/60)、65.2%(43/66)和69.2%(54/78);(3)职称构成方面,各年均为以初级职称人员比例最高,分别占56.7%(34/60)、62.1%(41/66)和51.3%(40/78);(4)专职人员分别占78.3%(47/60)、74.2%(49/66)和88.5%(69/78)。2010年北京市全部实验室均配备生物安全柜,全部结防机构实验室可以进行抗酸杆菌涂片及培养检测,市结防所具备开展药物敏感性试验的能力;2015年市结防所即具备了分子生物学临床诊断的能力;2018年北京市各级结防机构大力发展分子生物学诊断技术,GeneXpert MTB/RIF检测覆盖率为100.0%(19/19)。可见,北京市各级结防机构实验室人力资源的现状表现为人员数量增长缓慢、中高级职称比例较低、专职人员比例较高。北京市各级结防机构实验室目前仪器配置及病原学检查项目开展可以满足国家的要求。

关键词: 结核, 实验室, 卫生保健设施, 人力和服务, 问卷调查, 数据说明,统计

Abstract:

Using the questionnaires of national tuberculosis (TB) laboratory investigation designed by the TB Reference Laboratory of the Chinese Center for Disease Control and Prevention (China CDC) in 2009, the information related to the human resources, laboratory equipment and conducted pathogenic examination projects in Beijing municipal and district (or county) level TB prevention and control institutions (referred to as “TB institutions”) in 2010, 2015 and 2018 were collected, compared and analyzed. A total of 55 copies of questionnaires were sent out and all of them were returned, the effective response rate to the questionnaires was 100.0%. In 2010, 2015 and 2018, the human resource situation in the laboratories of Beijing TB institutions was as follows: (1) gender: the ratio of male to female was 1∶2.8 (16/44), 1∶3.4 (15/51), 1∶2.4 (23/55) respectively; (2) proportion of staff members who had been working for more than 5 years was 73.3% (44/60), 65.2% (43/66) and 69.2% (54/78) respectively; (3) professional title: the proportion of staff member who had primary professional title was the highest in each year, which was 56.7% (34/60), 62.1% (41/66) and 51.3% (40/78) respectively; (4) proportion of full time staff: it accounted for 78.3% (47/60), 74.2% (49/66) and 88.5% (69/78) respectively. In 2010, all the laboratories of TB institutions in Beijing were equipped with biosafety cabinets, and all the laboratories of TB institutions could perform acid-fast bacillus smear and culture examinations, and the municipal TB institute could carry out drug susceptibility test; in 2015, the municipal TB institute had the ability of molecular biology clinical diagnosis; in 2018, all levels of TB institutes in Beijing vigorously developed molecular biology diagnosis technology, the coverage rate of GeneXpert MTB/RIF test reached 100% (19/19). So the current human resource situation at all levels of TB laboratories in Beijing is that, there has been a slow increase in the number of staff number, the proportion of senior staff members with middle or high level professional titles is low, and the proportion of full-time staff members is high. The equipment configuration and the pathogenic examination projects at all levels of TB laboratories in Beijing can meet the requirements of national TB program.

Key words: Tuberculosis, Laboratories, Health care facilities, Manpower and services, Questionnaires, Data interpretation,statistical