北京市海淀区社区卫生服务机构慢病防控现状研究

Study on the noncommunicable diseases prevention and control situation in the community health service in Haidian district,Beijing

目的了解北京市海淀区社区卫生服务机构慢病防控现状,为制定相应政策和评估提供依据。方法以调查问卷的形式对海淀区社区卫生服务机构2009年的慢病防控情况进行调查,采用SPSS18.0对数据进行录入和分析。结果共调查了45家社区卫生服务机构,其中居民与医师比例为2539:1,居民与护士比例为3715:1,医师与护士比例为1.46:1;100%的机构开展了首诊测血压及高血压、糖尿病规范化管理工作,分别规范管理了24646人和9291人;28.9%机构为辖区内1228名脑卒中患者提供器械康复服务。结论海淀区社区卫生服务机构中存在医护比例低、人员和公共卫生经费不足及社区开展慢病规范化管理和康复人数低等问题。

Objective To understand the non-communicable diseases prevention and control situation in the community health service settings in Haidian district, therefore to provide evidence for policy making and evaluation. Methods The data of non-communicable diseases prevention and control of the community health service settings in 2009 was collected through questionnaire and analyzed by software SPSS 18.0. Results 45 community health service settings were investigated. The ratios of residents and physicians, residents and nurses, doctors and nurses were 2 539： 1, 3 715：1 and 1.46： 1, respectively. All health settings （ 100% ） carried out blood pressure testing and hypertension and diabetes standardized management at the first time visiting. There were 24 646 hypertension and 9 291 diabetes patients already managed by health settings. Among them, there were 28.9% settings which provided rehabilitation equipment for 1 228 cerebral apoplexy patients. Conclusion Low ratio of doctors and nurses, insufficient service staffs and public health funding, low standardized management of noncommunicable disease and low number of rehabilitation patients were still the outstanding issues.