关键词: 卫生系统机构, 预防卫生服务, 卫生人力

Abstract: Objective  To identify the current status of human resources in county level TB institutions of China, and provide the reference for county level human resources development. Methods Data were sourced from the 2001—2010 national TB program final evaluation database, the human resource situation of 2709 TB institutions nationwide were analyzed. In terms of staffing level, the proportion of TB institutions reaching the standards set by ‘the national tuberculosis prevention and control norms’ were analyzed and evaluated. Results There were a total of 24 646 full-time TB control personnel at county level nationally in 2010. Majority of them had college qualifications (including post-secondary and secondary), accounting for 73.7% (18 172/24 646). 59.5% (14 659/24 646) personnel had junior titles or below. In terms of the average number of TB personnel in TB institutions, the independent TB dispensaries had the highest of 22.1（6708/303）, much higher than the least of 4.7（2456/519） in non-independent TB institution subordinate to CDC. As for the proportion of personnel with senior title, the highest was 13.9% （444/3203）of designated hospitals, lowest was 4.8%（467/9834）of TB institutions under CDC. The designated hospitals also had the highest proportion of staff with above bachelor degree, 40.1% （1285/3203） versus the lowest of 13.5% （903/6708）in independent TB dispensaries. In eastern part of China, 33.3%（272/817）TB institutions reached the criteria of staffing level set by the ‘norms’, significantly higher than that in middle part (27.4%, 224/818) and western part (11.8%, 127/1074) （χ²=133.49，P<0.0001）.  Conclusion The human resources in county level is insufficient, we should address this problem in conjunction with the local health resources.

Key words: Health systems, agencies, Preventive health services, Health manpower