【摘要】 目的了解红河州当前基层医疗卫生机构慢性病防控能力和应对情况,为政府制定相关政策和防控策略提供依据。方法利用2012年全国慢性病预防控制能力调查表收集红河州基层医疗卫生机构调查数据,用SPSS16.0进行描述性分析。结果调查应答率100%,红河州基层医疗卫生机构从事公共卫生服务人员占在岗人员总数的20.23%,基本公共卫生服务经费占财政拨款经费比例中位数为42.68%,在调查的11项设备中平均配置7.17项。基层医疗卫生机构开展了培训指导、慢性病防控知识宣传普及、慢性病患者及其高危人群发现和管理工作,在调查的10本国家现行慢性病工作规范平均持有2.46本,在调查的6个宣传日中平均开展宣传3.19个,开展高危人群随访管理、患者自我管理和双向转诊的基层医疗卫生机构的比例分别为8.10%、11.04%和27.92%。开展过慢性病项目和慢性病社区康复的基层医疗卫生机构的比例分别为1.30%和1.95%。结论红河州基层医疗卫生机构慢性病防控能力较弱,急需加强慢性病防控能力建设,健全和完善基层医疗卫生机构"六位一体"服务功能。更多还原

【Abstract】 Objective To understand prevention and control of chronic non-communicable diseases and response ability of basic-level medical and health institutions in Honghe Prefecture, and provide scientific foundation for local government formulating prevention and control strategies. Methods The national chronic non-communicable disease prevention and control questionnaires(2012) were used to collect the data of basic-level medical and health institutions in Honghe. Descriptive analysis was performed using SPSS16.0. Results Survey response rate was 100%. The staff number engaged in public health service accounted for 20.23%of the total number of staff in basic-level medical and health institutions. And the fiscal appropriation funds for basic public health service made up to 42.68% of the total funds from the local government for basic-level medical and health institutions. For the 11 required equipment, the average possessed number was 7.17. For the 10 required job specification, the average possessed number was 2.46. For the required 6 propaganda days, the average time was 3.19 days. All the basic medical and health institutions carried out the training and guidance, the propaganda and popularization of the prevention and control knowledge of chronic non-communicable diseases, and the discovery and management of chronic non-communicable disease patients and its high risk populations.The proportion of institutions carrying out follow-up management of high risk populations, patient self management and two-way referral was 8.10%, 11.04% and 27.92% respectively. And the institutions which developed chronic non-communicable disease project and community rehabilitation of chronic non-communicable disease accounted for 1.30% and 1.95%, respectively. Conclusion Prevention and control of chronic non-communicable disease are relatively weak in the basic-level medical and health institutions,so it is very urgent to strengthen the prevention and control of chronic non-communicable diseases, and improve and perfect "six in one" service function in these institutions in Honghe Prefecture.更多还原