北京市怀柔区基层医疗卫生机构慢性病预防控制能力调查

A Survey on Ability of Chronic Disease Prevention and Control of Basic Medical and Health Institutions in Huairou District of Beijing

目的了解北京市怀柔区基层医疗卫生机构对慢性病的预防控制能力,分析慢性病预防控制的需求情况及工作中存在的制约因素,加强该区慢性病预防控制能力建设,为政府和卫生行政部门制定相关政策和预防控制策略提供依据。方法由参加市疾病预控制中心培训的区疾病预防控制中心工作人员对全区16家社区卫生服务中心及其附属社区卫生服务站进行统一问卷调查。结果社区卫生服务站人力资源分配不均衡,部分社区站人力资源短缺;慢性病防治服务经费不足;社区卫生服务站仪器设备不足;社区卫生服务中心不同程度的缺乏现行的国家级慢性病防控相关规范或指南,社区卫生服务站存有率更是寥寥无几;慢性病管理率低;脑卒中康复器械服务不足。结论应对人力资源进行调整,加大社区卫生服务经费的投入,加强社区卫生服务站慢性病防控相关设备或仪器的建设,加强对慢性病患者的规范化管理。

[Objective]To understand the ability of chronic disease prevention of basic medical and health institutions in Huairou district of Beijing,analyze the requirements of chronic disease prevention and its restrictive factors,improve the ability of chronic disease prevention in this district,and provide the basis for making the prevention and control strategy. [Methods]16 community health service centers and its affiliated community health service stations in the Huairou district were investigated with unified questionnaire by Huairou CDC personnel who had received the training in Beijing CDC. [Results]The human resource distribution of community health stations is unbalanced,and some of the community health stations have a lack of human resource.The medical instruments and equipments are not enough in community health stations.There is a lack of related current national standards or guidelines for chronic disease prevention at different levels in the community health service centers,and this problem in community health stations is more serious.The rate of chronic disease management is low.The rehabilitation equipment services for stroke are inadequate. [Conclusion]It is necessary to adjust the human resource,increase the fund input in community health service,strengthen the construction of instruments and equipments related to chronic disease prevention in community health stations,and improve the standardized management of patients with chronic diseases.