| 引用本文：韩燕玲,王权,刘思琦,等.疾控监督员制度的结构性挑战与发展路径：基于SWOT-CLPV融合分析[J].中国卫生政策研究,2025,18(6):26-33 |
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| 疾控监督员制度的结构性挑战与发展路径：基于SWOT-CLPV融合分析 |
| 投稿时间：2025-05-05 修订日期：2025-06-11 PDF全文浏览 HTML全文浏览 |
| 韩燕玲1，王权2，刘思琦3，吕雨濛2，秦钇馨2，宋瑛铭2，王加坤1，杨莉2,4 |
| 1.济南市疾病预防控制中心 山东济南 250021;2.北京大学公共卫生学院 北京 100191;3.中国医学科学院医学信息研究所/卫生体系与政策研究中心 北京 100020;4.北京大学首都卫生与健康发展研究院 北京 100191 |
| 摘要:目的 基于SWOT-CLPV融合模型，结合利益相关者分析，系统评估疾控监督员制度的优势、劣势、外部机遇与威胁，识别抑制性、杠杆效应、重大问题与脆弱性，并提出针对性优化建议。方法 综合文献、政策文件与7位疾控专家访谈资料，提炼SWOT要素并进行CLPV交互分析，结合利益相关方映射，形成融合性分析框架。结果 疾控监督员制度具备政策创新、医防融合等优势，并受益于健康意识提升和技术进步等机遇；但制度动力不足，抑制性和问题性突出，特别在基层机构与监督员个体层面表现为资源不足与风险集中。跨部门协作障碍和地方推进不均衡构成显著脆弱性。结论 应强化关键主体能力、优化组织架构、健全考核激励、完善协同机制，以提升制度执行力与韧性，推动疾控监督员制度稳步落地与持续发展。 |
| 关键词:疾控监督员 SWOT-CLPV分析 利益相关者 公共卫生治理 制度优化 |
| 基金项目:济南市卫生健康委员会公共卫生计划专项（2023-公-31） |
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| Structural challenges and development pathways of the disease control supervisor system： A SWOT-CLPV integrated analysis |
| HAN Yan-ling1, WANG Quan2, LIU Si-qi3, LYU Yu-meng2, QIN Yi-xin2, SONG Ying-ming2, WANG Jia-kun1, YANG Li2,4 |
| 1.Jinan Center for Disease Control and Prevention， Jinan Shandong 250021， China;2.School of Public Health， Peking University， Beijing 100191， China;3.Institute of Medical Information/Center for Health Systems and Policy Research， Chinese Academy of Medical Sciences， Beijing 100020， China;4.Beijing Institute for Health Development， Peking University， Beijing 100191， China |
| Abstract:Objective This study applies an integrated SWOT-CLPV framework combined with stakeholder analysis to systematically assess the strengths， weaknesses， opportunities， and threats of China’s disease control inspector system， while identifying its control factors， leverage points， key problems， and vulnerabilities.Methods Drawing on literature review， policy document analysis， and expert interviews with seven public health professionals， we extracted and categorized SWOT elements. A CLPV interaction analysis was conducted alongside stakeholder mapping to evaluate internal dynamics and systemic risks.Results The inspector system demonstrates strengths in policy innovation and medical-public health integration， with external opportunities stemming from rising public health awareness and digital health advancements. However， the system faces weak endogenous momentum， limited leverage， and prominent control constraints and problem-prone areas， especially among grassroots institutions and inspectors themselves. Cross-sectoral coordination barriers and uneven local implementation contribute to significant institutional vulnerabilities.Conclusion To enhance implementation and resilience， the system requires capacity building for key actors， improved governance structures， incentive and evaluation reforms， and strengthened coordination mechanisms to support the sustained and adaptive development of public health supervision. |
| Key words:Disease control supervisor SWOT-CLPV analysis Stakeholder Public health governance System optimization |
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