|本期目录/Table of Contents|

[1]许志远,韩晓燕,刘晖,等.北京市朝阳区基层医疗卫生机构慢性病预防控制能力现状调查[J].慢性病学杂志,2013,(06):420-422.
　XU Zhi-yuan*,HAN Xiao-yan,LIU Hui,et al.A survey on capacity for chronic disease prevention and control of basic medical and health institutions in Chaoyang,Beijing[J].,2013,(06):420-422.
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北京市朝阳区基层医疗卫生机构慢性病预防控制能力现状调查(PDF)

《慢性病学杂志》[ISSN:1674-8166/CN:11-5900/R]

卷:
期数:
2013年06期
页码:
420-422
栏目:
论著
出版日期:
2013-06-30

文章信息/Info

Title:
A survey on capacity for chronic disease prevention and control of basic medical and health institutions in Chaoyang,Beijing
作者:
许志远1; 韩晓燕1; 刘晖1; 郭德书2
1.北京市朝阳区疾病预防控制中心,北京 100021; 2.山东省临沂市营南县板泉中心卫生院,山东 临沂 276622
Author(s):
XU Zhi-yuan*; HAN Xiao-yan; LIU Hui; GUO De-shu *
Beijing Chaoyang District Centre for Disease control and Prevention,Beijng 100021,China Corresponding author:XU Zhi-yuan,E-mail:xzy861206@126.com
关键词:
慢性病;  基层医疗卫生;  人力资源;  能力建设
Keywords:
NCDs;  Primary health care;  Human resources;  Capacity
分类号:
R192
DOI:
-
摘要:
目的 分析北京市朝阳区基层医疗卫生机构慢性病防控能力现状以及工作中存在的制约因素和需求,为更好地开展慢性病预防控制工作提供依据。方法 由经过培训的调查员对朝阳区42家社区卫生服务中心进行问卷调查以及现场定性访谈。结果 2011年各社区卫生服务中心(简称中心)从事公共卫生服务人员平均为15.7人,占平均在岗技术人员的16.7%。各中心基本公共卫生服务经费占各中心总体财政拨款的12.9%。各中心配备仪器情况良好,97.6%的中心存有现行的国家级慢性病防控规范或指南。100.0%的中心举办过慢性病防控相关的知识讲座,平均举办17.4次。35岁以上居民首诊测血压服务、45岁以上居民免费血糖检测服务和65岁以上老年人免费健康体检服务开展率分别为97.6%、33.3%和88.1%。100.0%的社区卫生服务中心开展了高血压和糖尿病患者的建档和随访管理工作。结论 朝阳区基层慢性病防控机构不健全,而且资源不足,特别在人员方面。此外,朝阳区基层的慢性病防控缺乏自主性,对于高危人群的管理不够重视。
Abstract:
Objective To evaluate non-communicable chronic diseases(NCDs)control and prevention capacity of primary health care in Chaoyang, Beijing, and to identify factors that hold back NCDs control and prevention capacity. Methods The 42 sheets of 2012 national NCDs control and prevention capacity survey(for primary health care facilities)were analyzed.Also,qualitative interviews in 4 centers were conducted for community health services. Results There were 15.7 public health practitioners in each center. The fee of basic public health services accounted for 12.9% of total funds. NCDs related instruments were well equipped in these centers. 97.6% centers held current national forms of NCDs prevention and control. All centers had held lectures related to NCDs. 97.6%, 33.3%, 88.1% centers had provided services of monitoring blood pressure level of people over 35, fasting glucose test for people over 45, and physical exam for people over 65, respectively. All centers had created files and followed-up patients with hypertension and diabetes. Conclusions The institutional setup of NCDs control and prevention was incomplete, manpower was far from enough. Besides, autonomy of these centers to launch NCDs prevention and control was low, and management of high-risk people was not paid much attention.

参考文献/References:

[1] WHO.The global burden of disese:2004 update[R/OL].
[2013-01-27].http://www.who.int/healthinfo/global_burden_disease/2004_report_update/en/.
[2] 董忠, 李刚, 谢瑾, 等.2008年北京市成年人主要慢性非传染性疾病的患病率调查[J].中华预防医学杂志,2010, 44(1):85-86.
[3] 高艳青, 张月华, 戴慧琴.北京市大兴区基层医疗卫生机构慢性病预防控制能力现状分析[J].中国慢性病预防与控制,2012,20(6):693-694.
[4] 中央编办,卫生部,财政部,等.城市社区卫生服务机构设置和编制标准指导意见[EB/OL].(2006-09-04).
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[5] 李明.健康管理师的现状与展望[J].中华健康管理学杂志,2009,3(2):118-120.

备注/Memo

备注/Memo:
作者简介:许志远,硕士,医师,主要从事慢性病预防控制工作 通讯作者:许志远,E-mail:xzy861206@126.com
更新日期/Last Update: 2013-06-30