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[国家非传染性疾病综合防控示范区整体实施状况研究]

[Study on the overall implementation status of the National Demonstration Areas for Comprehensive Prevention and Control of Non-communicable Diseases].

作者信息

Li J J, Li J L, Zhang J, Jin R R, Ma S, Deng G J, Su X W, Bian F, Qu Y M, Hu L L, Jiang Y

机构信息

School of Public Health, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China.

出版信息

Zhonghua Liu Xing Bing Xue Za Zhi. 2018 Apr 10;39(4):417-421. doi: 10.3760/cma.j.issn.0254-6450.2018.04.006.

Abstract

To understand the current overall status of implementation on the National Demonstration Areas of Comprehensive Prevention and Control of Non-communicable Diseases. According to the scheme design of the questionnaires, all the National Demonstration Areas were involved in this study. For each National Demonstration Areas, eight departments were selected to complete a total of 12 questionnaires. Scores related to the implementation of the National Demonstration Areas accounted for 71.8% of the total 170 points. Based on the scores gathered from this study, the 23-items-index-system that represented the status of project implementation was classified into seven categories. Categories with higher percentile scores would include: monitoring (88.0%), safeguard measures (75.0%), health education and health promotion (75.0%). Categories with lower percentile scores would include: the national health lifestyle actions (67.7%), community diagnosis (66.7%), discovery and intervention of high-risk groups (64.7%), and patient management (60.9%). There were significant differences noticed among the eastern, central and western areas on items as safeguard measures, health education/promotion, discovery and intervention of high-risk groups. In all, the implementation programs in the eastern Demonstration Areas seemed better than in the central or western regions. As for the 23 items, five of the highest scores appeared on policy support, mortality surveillance, tumor registration, reporting system on cardiovascular/cerebrovascular events, and on tobacco control, respectively. However, the lowest five scores fell on healthy diet, patient self-management program, oral hygiene, setting up the demonstration units and promotion on basic public health services, respectively. The overall scores in the eastern region was higher than that in the central or the western regions. The scores in the central and western regions showed basically the same. The overall status of implementation on the National Demonstration Areas was satisfactory. Future attention should be focusing on patient management as well as discovery and intervention of high-risk groups, which also presented the lowest scores, in this survey.

摘要

为了解全国非传染性疾病综合防控示范区的当前总体实施状况。根据问卷的方案设计,所有全国示范区均参与了本研究。对于每个全国示范区,选取八个部门共完成12份问卷。与全国示范区实施情况相关的分数占总分170分的71.8%。根据本研究收集的分数,代表项目实施状况的23项指标体系被分为七类。百分位数得分较高的类别包括:监测(88.0%)、保障措施(75.0%)、健康教育与健康促进(75.0%)。百分位数得分较低的类别包括:全民健康生活方式行动(67.7%)、社区诊断(66.7%)、高危人群发现与干预(64.7%)以及患者管理(60.9%)。在保障措施、健康教育/促进、高危人群发现与干预等项目上,东部、中部和西部地区存在显著差异。总体而言,东部示范区的实施项目似乎优于中部或西部地区。至于这23项,得分最高的五项分别出现在政策支持、死亡率监测、肿瘤登记、心脑血管事件报告系统以及烟草控制方面。然而,得分最低的五项分别是健康饮食、患者自我管理项目、口腔卫生、设立示范单位以及基本公共卫生服务推广。东部地区的总体得分高于中部或西部地区。中部和西部地区的得分基本相同。全国示范区的总体实施状况令人满意。在本次调查中,未来应关注得分也最低的患者管理以及高危人群的发现与干预。

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