CAJ | 학술논문

慢性非传染性疾病的发病与心理、社会、生物等多种因素有关。社区卫生服务机构作为最基层的卫生服务单位，应该让慢性非传染性疾病在社区卫生服务站的管理和干预下，让患者自己承担起维护健康的责任。同时，动员全社区参与，使社会、家庭均承担起维护居民健康的责任。社区卫生服务工作的重点将要放在如何提高居民及慢病患者危险因素改变率及慢病患者随访依从性，从根本上降低慢性病的发病率，服务于人民。
만성비전염성질병적발병여심리、사회、생물등다충인소유관。사구위생복무궤구작위최기층적위생복무단위，응해양만성비전염성질병재사구위생복무참적관리화간예하，양환자자기승담기유호건강적책임。동시，동원전사구삼여，사사회、가정균승담기유호거민건강적책임。사구위생복무공작적중점장요방재여하제고거민급만병환자위험인소개변솔급만병환자수방의종성，종근본상강저만성병적발병솔，복무우인민。
The onset of chronic non-communicable diseases has relationship with mental,social,biological and other factors. Community health service institution is the most basic health services unit.The community health service station should have management and intervention of chronic non-communicable diseases.The patients themselves assume the maintenance responsibility for health,at the same time,we should mobilize the whole community participation,the society and families all assume maintenance responsibility for residents' health.The work focus of community health service will be placed on that how to improve risk factors change rate of residents and patients with chronic disease and follow-up compliance of patients with chronic disease.It radically reduce the incidence rate of chronic diseases in the service of the people.