摘要
目的了解四川省慢性非传染性疾病(简称慢性病)防控能力现状,分析慢性病防控能力建设的制约因素,为提高四川省慢性病防控能力提供依据。方法对四川省乡镇卫生院和社区卫生服务中心分别进行完全随机抽样,使用面对面问卷调查和查询相关资料两种方法收集数据,数据采用SPSS 22. 0软件进行统计分析,使用t检验和χ~2检验。结果四川省调查机构在岗的各类人员数均低于全国平均水平;到账的年财政拨款经费平均175. 31万元;其中基本公共卫生服务经费平均68. 91万元,均低于全国平均水平,管理高血压、糖尿病患者的财政补助额度均低于全国平均水平;配置心电图机、生化仪、X线机的机构占比分别为77. 22%、61. 96%和54. 44%,低于其他地区组配置占比;举办培训和开展现场技术指导的机构占比均低于其他地区组;除世界糖尿病日和全民健康生活方式日外,四川省慢性病防控相关健康日开展活动的机构占比均低于其他地区组;开展新发脑卒中病例报告的机构占比为22. 22%,低于其他地区组。结论四川省基层医疗卫生机构慢性病防控能力的制约因素主要是:慢性病防控人员不足、经费较少、培训指导弱、基础设施较差、宣教工作不够,工作中应加强慢性病防控人才队伍建设,完善慢性病防控机制,充分发挥政府相关部门作用。
Objective To systematically understand the status of prevention and control of chronic diseases in Sichuan and analyze the constraints and requirements of capacity building for prevention and control of chronic diseases and provide a basis improving the chronic disease control and prevention capacities. Methods Township hospitals and community health service centers in Sichuan were randomly sampled. Data were collected by a face -to -face questionnaire survey and search of related information. Data were analyzed by using SPSS 22. 0, t test and X2 test were used. Results The number of chronic disease prevention and control personnel in Sichuan was lower than the national average level. The average annual financial expenditure for NCDs prevention and control was 1 753 100 yuan, and 689 100 yuan of it was spent on basic public health services; both figures were below the national averages. The amount of financial support for the management ofpatients with hypertension and diabetes was far below the national average. The proportions of institutions equipped with electrocardiographs, biochemical instruments and X- ray machines were 77. 22%, 61.96% and 54. 44% respectively, lower than levels in other regions. The proportion of institutions providing training and technicalguidance was lower than that in other regions, with the exception of World Diabetes Day and National Healthy Lifestyle Day, the proportion of institutions carrying out activities during the health days related to NCDs prevention and control was lower than in other regions. New stroke cases reporting was conducted by 22.22% of the institutions; the proportion was lower than in other regions. Conclusion The restrictive factors for the prevention and control of NCDs in Sichuan were as follows： lack of chronic disease prevention and control personnel, inadequate funds, weak training guidance, poor infrastructure and inadequate education. Team building for the prevention and control of NCDs should be enhanced. The mechanism for prevention and control of N
作者
周颖
易光辉
邓颖
陈晓芳
胥馨尹
曾晶
ZHOU Ying;YI Guanghui;DENG Ying;CHEN Xiaofang;XU Xinyi;ZENG Jing(Chengdu University of Traditional Chinese Medicine,Chengdu 610075,Sichuan Province,China;Sichuan Center for Disease Control and Prevention,Chengdu 610041,Sichuan Province,China)
出处
《职业卫生与病伤》
2018年第5期302-306,共5页
Occupational Health and Damage
关键词
慢性病
基层医疗卫生机构
防控能力
chronic disease
primary -level medical and heahhcare institutions
prevention andcontrol capability
