【摘要】 目的分析北京市朝阳区基层医疗卫生机构慢性病防控能力现状以及工作中存在的制约因素和需求,为更好地开展慢性病预防控制工作提供依据。方法由经过培训的调查员对朝阳区42家社区卫生服务中心进行问卷调查以及现场定性访谈。结果 2011年各社区卫生服务中心(简称中心)从事公共卫生服务人员平均为15.7人,占平均在岗技术人员的16.7%。各中心基本公共卫生服务经费占各中心总体财政拨款的12.9%。各中心配备仪器情况良好,97.6%的中心存有现行的国家级慢性病防控规范或指南。100.0%的中心举办过慢性病防控相关的知识讲座,平均举办17.4次。35岁以上居民首诊测血压服务、45岁以上居民免费血糖检测服务和65岁以上老年人免费健康体检服务开展率分别为97.6%、33.3%和88.1%。100.0%的社区卫生服务中心开展了高血压和糖尿病患者的建档和随访管理工作。结论朝阳区基层慢性病防控机构不健全,而且资源不足,特别在人员方面。此外,朝阳区基层的慢性病防控缺乏自主性,对于高危人群的管理不够重视。更多还原

【Abstract】 Objective To evaluate non-communicable chronic diseases(NCDs)control and prevention capacity of primary health care in Chaoyang, Beijing, and to identify factors that hold back NCDs control and prevention capacity. Methods The 42 sheets of 2012 national NCDs control and prevention capacity survey(for primary health care facilities)were analyzed.Also,qualitative interviews in 4 centers were conducted for community health services. Results There were 15.7 public health practitioners in each center. The fee of basic public health services accounted for 12.9% of total funds. NCDs related instruments were well equipped in these centers. 97.6% centers held current national forms of NCDs prevention and control. All centers had held lectures related to NCDs. 97.6%, 33.3%, 88.1% centers had provided services of monitoring blood pressure level of people over 35, fasting glucose test for people over 45, and physical exam for people over 65, respectively. All centers had created files and followed-up patients with hypertension and diabetes. Conclusions The institutional setup of NCDs control and prevention was incomplete, manpower was far from enough. Besides, autonomy of these centers to launch NCDs prevention and control was low, and management of high-risk people was not paid much attention.更多还原