Dong W L, Mao F, Jiang Y Y, Xia Z, Zhang W W, Dong J Q, Liu S W, Zhou M G, Wu J
National Center for Chronic and Non-communicable Disease Control and Prevention/Tobacco Control Office, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2021 Aug 10;42(8):1413-1419. doi: 10.3760/cma.j.cn112338-20200729-00994.
To evaluate the quality of the National Demonstration Area for Comprehensive Prevention and Control of NCDs (referred to as "the Demonstration Area"). Based on the evaluation scores of the Demonstration Area field survey from 2017 to 2019, we counted the scores of each indicator, comparing the scores among indicators and regions. ± was used to describe the scores. The 95% of the score was used to test the statistical difference among regions. Each score was converted into a hundred-mark system to compare the scores among indicators. Of 236 Demonstration Areas, the total score was 83.5. The scores of the first-level indicator listed from high to low appeared as Integrating System of NCD Prevention and Control (92.8), Policy Perfection (90.3), Building Supportive Environment for NCD Prevention and Control (88.4), Implementation of Health Education and Health Promotion (87.4), Whole-course Management of NCDs (78.1), Innovation and Guidance (76.5), Surveillance and Evaluation (75.1). Total scores were higher in the east (259.2±18.8) comparing to the middle (243.2±15.2) or the west (245.4±19.7) regions. Substantial variations on the quality in the Demonstration Area existed across different regions in China. These disparities are important to the government when developing health policies and allocating resources. Whole-course Management of NCDs, Surveillance and Evaluation, and Innovation and Guidance in the Demonstration Area also needs to be improved.
评估国家慢性病综合防控示范区(以下简称“示范区”)的质量。基于2017年至2019年示范区现场调查的评估得分,我们统计了各项指标的得分,比较了指标间和地区间的得分情况。得分用±表示。采用得分的95%检验地区间的统计学差异。每项得分换算为百分制以比较指标间的得分。在236个示范区中,总分为83.5分。从高到低排列的一级指标得分依次为:慢性病防控整合系统(92.8分)、政策完善(90.3分)、构建慢性病防控支持性环境(88.4分)、健康教育与健康促进实施(87.4分)、慢性病全程管理(78.1分)、创新与指导(76.5分)、监测与评估(75.1分)。东部地区(259.2±18.8)的总分高于中部地区(243.2±15.2)和西部地区(245.4±19.7)。中国不同地区示范区的质量存在显著差异。这些差异对政府制定卫生政策和分配资源具有重要意义。示范区的慢性病全程管理、监测与评估以及创新与指导也有待改进。