基于扎根理论疟疾风险管理现状及策略研究

发布时间：2018-06-20 21:25

  本文选题：疟疾 + 风险管理　； 参考：《中国公共卫生》2017年04期

【摘要】：目的挖掘和总结疟疾风险管理的经验及存在问题,为疟疾消除阶段的疟疾风险管理工作提供策略建议。方法借鉴扎根理论(GTM),于2015年6月—2016年3月随机抽取广西、湖北、安徽三省疟疾防控系统的24名相关人员分别进行时长为半小时的面对面半结构式访谈,并补充访谈了河南和山东两省疾病预防控制中心的2名一线疟疾防控专家,对收集的定性资料进行整理和分析。结果样本地区疟疾风险管理工作的顺利开展主要受政府的重视,规范的疟疾预防、监测筛查、病例处置以及注重科研探索等因素的影响;然而当前疟疾风险管理面临的主要问题为:疟疾经费不足、居民及基层防控工作人员疟疾防控意识淡薄、流动人口加剧输入性疟疾传播风险、二代病例与疟原虫变异使监测更加困难等。结论疟疾消除阶段政府需要继续重视疟疾风险管理工作,适当增加和调整疟防经费及科研经费投入,协调建立多部门的疟疾防控机制。
[Abstract]:Objective to explore and summarize the experiences and problems of malaria risk management, and to provide some suggestions for malaria risk management in malaria elimination stage. Methods from June 2015 to March 2016, 24 participants from malaria control and control systems in Guangxi, Hubei and Anhui provinces were randomly selected for half-hour face-to-face and semi-structured interviews. Two experts from the Centers for Disease Control and Prevention in Henan and Shandong provinces were interviewed and the qualitative data were collected and analyzed. Results the successful development of malaria risk management in the sample area was mainly influenced by the government's attention, standardized malaria prevention, surveillance and screening, case management and scientific research. However, the main problems facing malaria risk management at present are: insufficient malaria funds, weak awareness of malaria control and control among residents and grass-roots prevention and control workers, and increased risk of imported malaria transmission by floating population. The second generation of cases and the variation of Plasmodium make it more difficult to monitor. Conclusion in the stage of malaria elimination, the government should continue to pay attention to malaria risk management, appropriately increase and adjust the funds for malaria control and scientific research, and coordinate the establishment of a multi-sector malaria control mechanism.
【作者单位】： 华中科技大学医药卫生管理学院;湖北省人文社科重点研究基地—农村健康服务研究中心;
【基金】：国家自然科学基金(71473097)
【分类号】：R531.3
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本文编号：2045719