中国慢性病和非传染性疾病预防控制资源综合评估：一项横断面研究。
Comprehensive assessment of resources for prevention and control of chronic and non-communicable diseases in China: a cross-sectional study.
机构信息
National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.
Office of Epidemiology, Chinese Center for Disease Control and Prevention, Beijing, China.
出版信息
BMJ Open. 2023 Jul 20;13(7):e071407. doi: 10.1136/bmjopen-2022-071407.
OBJECTIVE
This study aims to comprehensively evaluate the resources for prevention and control of chronic and non-communicable diseases (NCDs) in China to provide a reference basis for optimising the resource allocation for prevention and control of NCDs.
METHODS
China Chronic Disease and Risk Factor Surveillance sites and National Demonstration Areas for Integrated Chronic and Non-communicable Disease Prevention and Control (NCDDA) were selected as investigation objects. In December 2021, the district (or county) resource allocation for NCD prevention and control was investigated through the NCDDA management information system. According to the index system of NCD prevention and control, 31 indicators of 6 dimensions were collected, and the weighted technique for order preference by similarity to an ideal solution, weighted rank-sum ratio and fuzzy comprehensive evaluation methods were used for comprehensive evaluation of resources for prevention and control of NCDs.
RESULTS
The 653 districts (or counties) in this study cover 22.96% of China's districts (or counties). The top three weights were full-time staff for NCD prevention and control (0.1066), the amount of funds for NCD prevention and control (0.0967), and the coverage rate of districts (or counties) establishing chronic obstructive pulmonary disease surveillance information system (0.0886). The comprehensive evaluation results for the resources for prevention and control of NCDs by the three methods were basically the same. The results of fuzzy comprehensive evaluation showed that the resource allocation in urban areas (0.9268) was better than that in rural areas (0.3257), the one in eastern region (0.9016) was better than that in central (0.3844) and western regions (0.3868), and the one in NCDDA (0.9625) was better than that in non-NCDDA (0.2901).
CONCLUSION
The resources in China for NCD prevention and control differ among different regions, which should be taken into account in future policymaking and resource allocation.
目的
本研究旨在全面评估中国慢性病和非传染性疾病（NCD）防控资源，为优化 NCD 防控资源配置提供参考依据。
方法
选取中国慢性病及其危险因素监测点和国家慢性病综合防控示范区作为调查对象。2021 年 12 月，通过 NCDDA 管理信息系统调查区（县）NCD 防控资源配置情况。根据 NCD 防控指标体系，收集 6 个维度 31 项指标，采用逼近理想解排序法、加权秩和比法和模糊综合评价法对 NCD 防控资源进行综合评价。
结果
本研究共涉及 653 个区（县），占全国区（县）的 22.96%。前三位权重分别为 NCD 防控专职人员（0.1066）、NCD 防控经费（0.0967）和慢阻肺监测信息系统覆盖区（县）比例（0.0886）。三种方法的 NCD 防控资源综合评价结果基本一致。模糊综合评价结果显示，城区资源配置（0.9268）优于农村（0.3257），东部优于中部（0.3844）和西部（0.3868），NCDDA 优于非 NCDDA（0.2901）。
结论
中国 NCD 防控资源在不同地区存在差异，今后的政策制定和资源配置应予以考虑。
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