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目的了解平凉市慢性病预防控制能力现状,为慢性病预防控制能力建设和制定相关政策提供依据。方法采用中国疾病预防控制中心(简称:疾控,CDC)《2012年疾控机构慢性病能力调查问卷》和《2012年基层医疗机构慢性病能力调查问卷》入户访谈,以纸质填写和网络填报开展调查,统计分析慢性病预防控制现状。结果共收回疾控和基层医疗机构有效纸质和网络填报调查问卷各8份和110份,回收率均为100%。疾控机构用于慢性病防控经费占总业务经费的5.5%,现行防控规范由政府印发占25%,独立慢病科(所)设有2个,慢性病防控人员13人,占各级疾控在编人员的3.7%;慢性病主要监测和危险因素干预指标开展的非常有限,对基层督导和多部门合作开展工作频次低;基层医疗机构公共卫生工作人员共计315人,占在编人数的8.0%(2.9人/乡),体检仪器基本齐全占60.9%,重点慢性病建档管理和高危人群早发现工作覆盖率未达90%。结论平凉市目前以政府主导、多部门合作、群众参与的慢性病防控工作机制还没有真正形成,各级慢性病防控工作经费匮乏,防控能力薄弱。需加强慢性病防控体系建设,提高各级慢性病防控技能,适应新形势下慢性病防控需要。
Objective To understand the current situation of prevention and control of chronic diseases in Pingliang and to provide the basis for the prevention and control of chronic diseases and to formulate relevant policies. Methods The CDC questionnaire of chronic diseases of CDC and questionnaire of chronic diseases of primary health care institutions in 2012 were interviewed by the CDC, filled in by paper and filled in by the internet Investigate and analyze the status quo of chronic disease prevention and control. Results A total of 8 questionnaires and 110 questionnaires were collected from CDC and grass-root medical institutions, and the recovery rates were both 100%. The CDC’s funds for prevention and control of chronic diseases account for 5.5% of the total operating expenses. The current prevention and control norms are issued by the government accounting for 25% of the total. Chronic disease prevention and control departments have 2 people, and 13 people account for all levels 3.7% of people in chronic diseases are under the control of chronic diseases; the main indicators of chronic disease monitoring and risk factors are very limited; and the work frequency of grassroots supervision and multisectoral cooperation is very low. There are 315 public health workers in primary health care institutions, 8.0% (2.9 persons / commune), 60.9% of basic medical equipment, and less than 90% coverage of key chronic disease management and early detection of high-risk groups. Conclusion Currently, Pingliang City has not yet formed a mechanism for prevention and control of chronic diseases led by the government, with multi-sectoral cooperation and mass participation. It has a lack of funding for prevention and control of chronic diseases at all levels and weak prevention and control measures. The need to strengthen the prevention and control of chronic disease prevention system to improve prevention and control of chronic disease at all levels of skills to adapt to the needs of the prevention and control of chronic diseases in the new situation.