CAJ | 학술논문

目的：了解合肥社区慢病防控服务实施现状，为推进该市社区慢病防控工作提供参考。方法资料来源于2011年“安徽省公共卫生体系慢病防控能力建设现状调查”，即于2011年3—6月以合肥市作为研究现场，在该市辖区内依据行政区划对社区卫生服务机构（ CHSI）进行分层抽样，采用自拟问卷并结合现场观察、检查/核查工作档案，对CHSI及相关人员进行横断面调查。结果159家CHSI进入调查，有效应答150家。其中26家（17.3%）设有慢病科，141家（94.0%）设有慢病防治总负责人，129家（86.0%）开展社区动员、制定防控规划；防控服务项目实施的覆盖率依次为社区干预86.0%（129/150）、慢病监测80.7%（121/150）、高危筛查77.3%（116/150）、流行病学调查68.7%（103/150）、死因监测48.7%（73/150）、监测信息系统48.0%（72/150）和效果评价33.3%（50/150）；98.6%（142/144）的CHSI建立了健康档案，其中52.8%（75/142）建有健康档案基础信息系统；97%以上CHSI启动了高血压和糖尿病的登记/管理，对恶性肿瘤和脑卒中进行登记/管理的CHSI>75%；对已登记的高血压和糖尿病患者规范化管理率>90%，管理人群血压和血糖控制率均高于60%。但慢病监测主要限于发/患病登记；项目实施主要针对高血压、糖尿病和恶性肿瘤；居民建档率平均不足30%，档案及信息系统利用率低。结论合肥市社区慢病防控工作组织管理得到加强，但防控服务水平存有较大提升空间。
목적：료해합비사구만병방공복무실시현상，위추진해시사구만병방공공작제공삼고。방법자료래원우2011년“안휘성공공위생체계만병방공능력건설현상조사”，즉우2011년3—6월이합비시작위연구현장，재해시할구내의거행정구화대사구위생복무궤구（ CHSI）진행분층추양，채용자의문권병결합현장관찰、검사/핵사공작당안，대CHSI급상관인원진행횡단면조사。결과159가CHSI진입조사，유효응답150가。기중26가（17.3%）설유만병과，141가（94.0%）설유만병방치총부책인，129가（86.0%）개전사구동원、제정방공규화；방공복무항목실시적복개솔의차위사구간예86.0%（129/150）、만병감측80.7%（121/150）、고위사사77.3%（116/150）、류행병학조사68.7%（103/150）、사인감측48.7%（73/150）、감측신식계통48.0%（72/150）화효과평개33.3%（50/150）；98.6%（142/144）적CHSI건립료건강당안，기중52.8%（75/142）건유건강당안기출신식계통；97%이상CHSI계동료고혈압화당뇨병적등기/관리，대악성종류화뇌졸중진행등기/관리적CHSI>75%；대이등기적고혈압화당뇨병환자규범화관리솔>90%，관리인군혈압화혈당공제솔균고우60%。단만병감측주요한우발/환병등기；항목실시주요침대고혈압、당뇨병화악성종류；거민건당솔평균불족30%，당안급신식계통이용솔저。결론합비시사구만병방공공작조직관리득도가강，단방공복무수평존유교대제승공간。
Objective To investigate the implementation status of community chronic non-communicable disease pre-vention and control( NCD-PC)in Hefei,and to provide references for promoting the related work in the future. Methods The research materials were from" Capability Construction Investigation of Chronic Disease Prevention and Control in Public Health System in Anhui",that is,Hefei having been as the research field from March to June of 2011,community health service insti-tutions(CHSI)were selected by stratified sampling method according to the administrative division,using questionnaire com-bined with on-site observation,inspection / verification working files to conduct a cross-sectional survey on CHSI and related personnel. Results 159 CHSIs were involved in the investigation,150 of which did effective responses. Among them,26 (17. 3%)set up chronic disease departments,141(94. 0%)had the chief person in charge of prevention and control work, 129(86. 0%)developed community mobilization and made NCD-PC plan. The implementation coverage rates of specific service projects were as follows:community intervention 86. 0%( 129/150 ), monitoring 80. 7%( 121/150 ), high -risk screening 77. 3%(116/150),epidemiological investigation 68. 7%(103/150),death surveillance 48. 7%(73/150),information mo-nitoring system 48. 0%( 72/150 ) and effect assessment 33. 3%( 50/150 ) . 98. 6%( 142/144 ) of CHSIs had established health files,52. 8%(75/142) of which built health basic information systems;above 97% of the CHSIs had began the registra-tion/management job toward hypertension and diabetes and more than 75% had began the registration / management job toward malignant tumor and stoke. The standardized management rate of the hypertension patients and diabetic patients under registration was over 90% and the control rates of blood pressure and blood sugar were all over 60%. But the chronic disease monitoring was mainly limited to incidence / prevalence registration;most of the projects were aimed at hypertension,diabetes mellitus and ma-lignant tumor;average residents filing rate was less than 30% and the utilization rate of files and information system was insuffi-cient. Conclusion The organization and management of Hefei community chronic disease prevention and control have been strengthened,but there is still a big space for improvement.