南昌市疾病预防控制系统慢性病预防控制能力现状调查

Current Status of Chronic Disease Prevention and Control Ability of Disease Control System in Nanchang

目的 了解南昌市疾病预防控制系统(简称“疾控系统”)慢性病预防控制能力(简称“慢性病防控能力”)现状,为加强南昌市慢性病防控能力建设及制订慢性病防控相关政策提供依据。方法 采用2018年中国疾病预防控制中心(CDC)制定的“全国慢性病防控能力调查表”(适用于疾控系统)对南昌市疾控系统2017年慢性病防控能力情况进行调查。结果 调查市级CDC 1个,县(区)级CDC 9个,应答率100%;慢性病防控在岗工作人员40人,占疾控系统在岗总人数的4.9%,平均年龄36.0岁,平均从事慢性病防控工作年限5.7年,70.0%为本科学历,初、中、高级职称分别占47.5%、32.5%、5.0%,45.0%为预防医学专业;用于慢性病防控的总经费占总业务经费的10.1%;50.0%的机构有现行慢性病防控相关规划,80.0%的机构有慢性病防控工作方案;10家CDC均有承担慢性病防控工作的部门,均主办了慢性病防控相关培训,仅10.0%的机构接受过外单位的慢性病防控工作人员进修;90.0%的机构在慢性病防控工作中与媒体有过合作,40.0%的机构对辖区慢性病的应对情况开展定期评估;10家CDC均开展了死因监测、恶性肿瘤报告工作;主持科研课题的CDC仅占10.0%,发表相关论文3篇;2017年10家CDC均未组织过精神卫生相关培训。结论 南昌市疾控系统慢性病防控能力有待提高,南昌市政府及卫生行政部门应加大对慢性病防控工作的重视,健全慢性病综合防治机制,提高疾控系统慢性病防控能力。

Objective To understand the current situation of chronic disease prevention and control ability of Nanchang Disease Prevention and Control System,and to provide a basis for strengthening the ability to prevent and control chronic diseases and formulating the related policies in Nanchang.Methods The chronic disease prevention and control ability of Nanchang Disease Prevention and Control System in 2017 was investigated using the Chinese Center for Disease Control and Prevention(CDC) Ability Questionnaire(Applicable to Disease Prevention and Control System,2018).Results A total of 1 municipal CDC and 9 county-level CDCs were investigated,and the response rate was 100%.Of the staff members working in disease control system,40(4.9%) engaged the prevention and control of chronic diseases(average age,36.0 years old;average service length,5.7 years).Among the 40 members,70.0% had bachelor degree(47.5% had junior title,32.5% had intermediate title and 5.0% had senior title),and 45.0% majored in preventive medicine.The expenses for chronic disease prevention and control accounted for 10.1% of the total operating expenses.Of the 10 CDCs,50.0% had current plans for chronic disease prevention and control,80.0% had work programs,10.0% had provided personnel training,90.0% had cooperated with the media,40.0% conducted regular assessment on the response to chronic diseases,and 10.0% were hosting scientific research projects(3 related papers had been published).In addition,all the 10 CDCs had the departments undertaking chronic disease prevention and control work,hosted the relevant training,and carried out death surveillance and malignant tumor report.However,the 10 CDCs did not organize mental health-related training in 2017.Conclusion The chronic disease prevention and control ability of Nanchang Disease Prevention and Control System needs to be improved.The Nanchang Municipal Government and the health administrative departments should pay more attention to the prevention and control of chronic diseases to improve the comprehensive prevention and control mechanism and to enhance the chronic disease prevention and control ability of disease control system.