Resumen de The Centers for Disease Control and Prevention System in China: Trends From 2002-2012.
Chengyue Li, Mei Sun, Ying Wang, Li Luo, Mingzhu Yu, Yu Zhang, Hua Wang, Peiwu Shi, Zheng Chen, Jian Wang, Yueliang Lu, Qi Li, Xinhua Wang, Zhenqiang Bi, Ming Fan, Liping Fu, Jingjin Yu, Mo Hao
Objectives. To assess the improvements of the Chinese Centers for Disease Control and Prevention (CDCs) systembetween2002and 2012, andproblems the system hasencountered. Methods. We obtained data from 2 national cross-sectional surveys in 2006 and 2013, including 32 provincial, 139 municipal, and 489 county-level CDCs throughout China. We performed a pre-post comparative analysis to determine trends in resource allocation and service delivery. Results. The overall completeness of public health services significantly increased from 47.4% to 76.6%. Furthermore, the proportion of CDC staff with bachelor's or higher degrees increased from 14.6% to 32.6%, and governmental funding per CDC increased 5.3-fold (1.283-8.098 million yuan). The working area per CDC staff increased from 37.9 square meters to 63.3 square meters, and configuration rate of type A devices increased from 28.1% to 65.0%. Remaining problems included an 11.9% reduction in staff and the fact that financial investments covered only 71.1% of actual expenditures. Conclusions. China's CDC system has progressed remarkably, enabling quicker responses to emergent epidemics. Future challenges include establishing a sustainable financing mechanism and retaining a well-educated, adequately sized public health workforce. [ABSTRACT FROM AUTHOR]
