Abstract:

To understand the status of service capability in city/county tuberculosis (TB) designated hospital in Hainan, the questionnaire design by Chinese Center for Disease Control and Prevention was used, the data of educational background and professional title of clinical staff and laboratory staff, as well as the usage of TB auxiliary examination from 18 city/county TB designated hospital in Hainan in 2019. It was found that there were 347 clinical and laboratory staff in the 18 city/county TB designated hospital. The average service population was 26900 per staff,and service radius of 5.68 km per staff. The mainly of the staff were bachelor (65.7%, 228/347), only 11 (3.2%) were master or higher. There was no staff with master’s degree or higher in counties/ethnic minority autonomous counties. Mainly staff were with junior or other professional titles (53.0%, 184/347), and the senior titles only accounted for 15.0% (52/347). The digital X-ray (DR), CT or MRI were carried out for 94.4% (17/18) and 77.8% (14/18), respectively from the 18 TB designated hospitals. However, the proportions of CR, tuberculin skin test, interferon gamma ralease assays and fiber bronchoscopy were not high, which were 33.3% (6/18), 33.3% (6/18), 11.1% (2/18) and 11.1% (2/18), respectively. The Gini coefficients of distribution based on the number of permanent residents and land area were both 0.38. It was found that the staff with high academic qualifications and high professional titles were not enough, the auxiliary tests were carried out imbalanced, the staff need to be further strengthened in city/county TB designated hospitals in Hainan.

Key words: Tuberculosis, Hospitals,county, Capacity building, Diagnostic services, Data interpretation,statistical, Small-area analysis