Abstract：Objective To analyze the advantages and challenges of the staged development tool (SDT) applied in China’s disease control and prevention centers (CDCs), and to put forward suggestions for the future work. Methods Focus group interviews were conducted among managing-level staff and key experts from CDCs to learn about their views of SDT, especially the expectations, opinions and suggestions of SDT’s application in CDCs. Data were analyzed through thematic framework analysis. Results A total of 28 employees from CDCs at different levels were involved in the survey. Of these 28 participants, the average age was 43.32 (29-65) years. 57.14% were men, 78.57% were from provincial CDCs, 67.86% had senior titles, 50.00% were middle level managers and 17.86% were institutional leading members. Over 70% of the participants believed that SDT was an international, scientific and practical assessment tool for the development of public health institutions. About 40% of the participants identified that SDT was suitable for national and provincial CDCs to carry out non-performance-basedself-assessments. It could not only accurately identify the current development stage of the institution, provide useful references for the future development plan and find effective improvement methods, but also exercise the users’ thinking ability, broaden their horizons, and improve the level of participation in international health governance. The acceptance of SDT by the leading members of CDCs and health authorities would greatly affect the application of SDT in China. In the meanwhile, about 36% of theparticipants thought that there were gaps between the evaluation areas covered by SDT and the work contents and responsibilities of CDCs in China. Conclusion SDT is an internationally-used, mature and practical tool for evaluation on the development of public health institutions, and it is suitable for application in China’s national and provincial CDCs after localization and adjustment. At the same time, the understanding and acceptance of SDT by more leading members of disease control institutions and health authorities can be achieved through meetings and trainings so as to improve the effectiveness of SDT’s application in China.
刁菲, 丁旭虹, 邹运铎, 胡静然, 王晓琪. 阶段性发展评估工具在我国疾病预防控制机构中应用的优势和挑战[J]. 实用预防医学, 2023, 30(6): 754-758.
DIAO Fei, DING Xu-hong, ZOU Yun-duo, HU Jing-ran, WANG Xiao-qi. Advantages and challenges of the staged development tool applied in China’s disease control and prevention institutions. , 2023, 30(6): 754-758.
[1] 梁明修,袁莎莎,邵子津,等.中国疾病预防控制体系改革进展系统综述[J].中华预防医学杂志,2021,55(11):1332-1338. [2] 王卫军,李砚明. 健康中国建设中的疾病预防控制工作思考[J]. 实用预防医学,2019,26(4):507-509. [3] 方鹏骞,王一琳.我囯医疗卫生体系治理能力及应急响应机制的关键问题与思考[J].中国卫生事业管理,2020,37(4):241-244. [4] 中华人民共和国中央人民政府. 习近平:构建起强大的公共卫生体系 为维护人民健康提供有力保障[EB/OL]. (2020-09-15) [2022-07-27]. http://www.gov.cn/xinwen/2020-09/15/content_5543609.htm. [5] The International Association of National Public Health Institutes. Staged development tools [EB/OL]. (2021-12-24) [2022-07-27]. https://www.ianphi.org/tools-resources/sdt.html. [6] 刁菲,邹运铎,丁旭虹,等.阶段性发展评估工具在我国疾控机构中应用的可行性研究[J].中国卫生事业管理,2021,38(8):626-630. [7] The International Association of National Public Health Institutes. Discussion guides: planning [EB/OL]. (2022-03-03) [2022-03-03]. https://ianphi.org/_includes/documents/sections/tools-resources/sdt/discussion-guidelines/en/1.pdf. [8] US Centers for Disease Control and Prevention. Togo's National Institute of Hygiene puts the staged development tool to use [EB/OL]. (2021-12-24) [2022-07-27]. https://www.cdc.gov/globalhealth/healthprotection/nphi/stories/togo-inh-sdt.html. [9] Barzilay EJ, Vandi H, Binder S, et al. Use of the staged development tool for assessing, planning, and measuring progress in the development of national public health institutes [J]. Health Secur, 2018, 16(S1):S18-S24. [10] 汪涛,陈静,胡代玉,等.运用主题框架法进行定性资料分析[J].中国卫生资源,2006, 9(2):86-88. [11] 中华预防医学会新型冠状病毒肺炎防控专家组.关于疾病预防控制体系现代化建设的思考与建议[J].中华流行病学杂志,2020,41(4):453-460. [12] 杨皓斌,罗美玲,杨土保. 新冠肺炎疫情形势下加强我国在全球公共卫生安全领域国际话语权的思考与建议[J]. 实用预防医学,2021,28(9):1149-1152,封3.
2023, Vol. 30 
