我国县级疾病预防控制中心效率影响因素的多水平分析

摘要

目的：：探讨我国县级疾病预防控制中心(简称“疾控中心”)效率的影响因素。方法：全国系统抽样选取458个县级样本疾控中心，运用多水平模型对2012年数据进行分析，明确区域层面(高水平)和机构层面(低水平)因素对机构效率的影响。结果：我国县级疾控中心的效率在省份间存在聚集性，区域层面的人口密度对机构效率存在影响，机构层面中卫生技术人员比例、人均服务收入、人均实验室面积对效率有显著影响。结论：区域层面和机构层面的因素均对效率产生影响，多水平模型有助于全面认识我国疾控中心效率的影响因素。%Objective: To examine the influencing factors of the efficiency of county-level centers for disease control and prevention ( CDCs) in China. Methods:458 county-level CDCs were selected based on a systematic sam-pling method. Multilevel modeling was used to analyze the region-level and institution-level influencing factors affect-ing the efficiency of CDCs. Results: It was found that the region ( province) is associated with the efficiency of a CDC. The region-level factor of population density exhibited a significant influence, while the institution-level factors such as the proportion of health technicians, service income and CDC laboratories per capita also had an influence on overall efficiency. Conclusions: Both the region-level and institution-level determinants influence efficiency. Multi-level modeling can help researchers gain a comprehensive understanding of the influencing factors that affect the CDC efficiency.