Mao F, Jiang Y Y, Dong W L, Ji N, Dong J Q
Department of Chronic Disease Prevention and Evaluation, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
Department of Risk Factor Intervention and Health Promotion, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2017 Apr 10;38(4):496-502. doi: 10.3760/cma.j.issn.0254-6450.2017.04.017.
To understand the 'backward' provinces and the relatively poor work among the construction of National Demonstration Area, so as to promote communication and future visions among different regions. Methods on Cluster analysis were used to compare the development of National Demonstration Area in different provinces, including the coverage of National Demonstration Area and the scores of non-communicable disease (NCDs) prevention and control work based on a standardized indicating system. According to the results from the construction of National Demonstration Area, all the 29 provinces and the Xinjiang Production and Construction Corps (except Tibet and Qinghai) were classified into 6 categories: Shanghai; Beijing, Zhejiang, Chongqing; Tianjin, Shandong, Guangdong and Xinjiang Production and Construction Corps; Hebei, Fujian, Hubei, Jiangsu, Liaoning, Xinjiang, Hunan and Guangxi; Shanxi, Jilin, Henan, Hainan,Sichuan, Anhui and Jiangxi; Inner Mongolia, Shaanxi, Ningxia, Guizhou, Yunnan, Gansu and Heilongjiang. Based on the scores gathered from this study, 24 items that representing the achievements from the NCDs prevention and control endeavor were classified into 4 categories: Manpower, special day on NCD, information materials development, policy/strategy support, financial support, mass media, enabled environment, community fitness campaign, health promotion for children and teenage, institutional structure and patient self-management; healthy diet, risk factors on NCDs surveillance, tobacco control and community diagnosis; intervention of high-risk groups, identification of high-risk groups, reporting system on cardiovascular and cerebrovascular events, popularization of basic public health service, workplace intervention programs, construction of demonstration units and mortality surveillance; oral hygiene and tumor registration. Contents including oral hygiene, tumor registration, intervention on high-risk groups, identification of high-risk population, reporting system on cardiovascular and cerebrovascular events, popularization of basic public health service, workplace intervention programs, construction of demonstration units and mortality surveillance were discerned as the relatively weak areas in the construction programs of National Demonstration Area. Western regions, especially in some remote provinces had the poorest performance during the construction of National Demonstration Area. Programs regarding chronic disease surveillance, identification and intervention on high-risk groups showed the lowest scores and these outcome-oriented tasks should be further focused on, during the next term of review, in these areas.
了解“后进”省份以及国家示范区建设中相对薄弱的工作，以促进不同地区之间的交流与未来展望。采用聚类分析方法比较不同省份国家示范区的发展情况，包括基于标准化指标体系的国家示范区覆盖范围和非传染性疾病（NCDs）防控工作得分。根据国家示范区建设结果，将29个省和新疆生产建设兵团（西藏和青海除外）分为6类：上海；北京、浙江、重庆；天津、山东、广东和新疆生产建设兵团；河北、福建、湖北、江苏、辽宁、新疆、湖南和广西；山西、吉林、河南、海南、四川、安徽和江西；内蒙古、陕西、宁夏、贵州、云南、甘肃和黑龙江。根据本研究收集的得分，将代表非传染性疾病防控工作成果的24项内容分为4类：人力、非传染性疾病宣传日、信息材料开发、政策/战略支持、财政支持、大众媒体、支持性环境、社区健身活动、儿童和青少年健康促进、组织结构和患者自我管理；健康饮食、非传染性疾病危险因素监测、烟草控制和社区诊断；高危人群干预、高危人群识别、心脑血管事件报告系统、基本公共卫生服务普及、工作场所干预项目、示范单位建设和死亡率监测；口腔卫生和肿瘤登记。口腔卫生、肿瘤登记、高危人群干预、高危人群识别、心脑血管事件报告系统、基本公共卫生服务普及、工作场所干预项目、示范单位建设和死亡率监测等内容被视为国家示范区建设项目中相对薄弱的领域。西部地区，特别是一些偏远省份在国家示范区建设中表现最差。慢性病监测、高危人群识别和干预等项目得分最低，在下次审查期间，这些地区应进一步关注这些以结果为导向的任务。
