河南农村心血管疾病防治适宜技术推广的调查探讨

Investigation on promoting appropriate prevention and treatment technology of cardiology in rural areas of Henan

围绕当前河南省农村心血管卫生防治工作中的实际需求，针对农村地区健康危害较大、疾病负担较重、适宜技术缺乏的重点技术问题，从基线调查人手，筛选一批安全、有效、经济的心血管防治适宜技术，并组织大面积的推广应用。系统、全面地对不同经济状况、不同区域的心血管适宜技术的应用模式和运行机制进行探索研究，提出技术推广应用中存在的问题，探讨推广对策及措施，研究基层农村心血管防治适宜技术推广的工作模式，最终达到改善农村心血管卫生服务可及性、减轻农民疾病负担、提高农民整体健康水平的效果。

Henan is a large agricultural population province of China. It has relative scarcity of the primary health personnel and the health technology, together with farmers lacking understanding of prevention and treatment of cardiovascular diseases, which result in the diseases becoming the major effect on local residents＇ health. In the new situation of social change, the feasible medical technique extension for the rural health prevention and treatment of cardiovascular diseases faces on the new opportunities and challenges. The technical strategy was taken as following： choosing representative demonstration counties, focusing on actual demand for cardiovascular disease prevention and treatment and on technical problems of diseases with heavier burden and lack of appropriate technology. From the baseline survey, selecting a number of safe, effective and economic the feasible cardiovascular technology for the extension application in large area. The models of appropriate technology applications and operating mechanisms were studied systematically on different eco- nomic conditions and different regions, Some existing problems were found in the extension application. Meanwhile, the measures of prevention and treatment of cardiovascular rural grass-roots promotion of appropriate technology mode was put forward. This study would improve cardiovascular health services in rural areas, decrease the disease burden of farmers and raise their overall health level.