福州市疾病控制系统慢性病预防控制能力现状调查分析

Investigation and analysis of disease prevention and control system of chronic disease prevention and control ability present situation in Fuzhou city

目的了解福州市各级疾病预防控制机构的慢性病防治资源配置和防控能力现状,为制定相关政策提供依据。方法选取福州市辖区所有疾病预防控制机构共13家(1家市级、5家区级和7家县(市)级),对2014年中国疾病预防控制中心慢性病能力调查福州市报表的相关数据进行统计分析。结果福州市13家疾控中心中,30.77%成立了以慢性病防控为主要职责的科所。仅有开展慢性病示范区创建的两个县(市)区各级政府或卫生行政部门制定了现行的慢性病防控相关规划和工作(实施)方案。3家疾控中心与媒体合作过;在卫生领域内,3家疾控中心与统计健康教育机构等相关机构有合作;在非卫生领域,仅1家疾控机构与教育部门、体育部门以及财政部门有合作。市级慢性病工作经费占本级工作总经费的47.01%,县(市)区级慢性病工作经占本级工作总经费3.92%。慢性病防控工作在人员占全部在岗人员总数的4.01%,其中有执业资格的占83.87%,预防医学专业占64.52%;学历以本科比例最高,占64.52%;职称中级比例最高,占58.06%;工作年限5年以下的比例最高,占61.29%。84.62%和61.54%的疾控中心分别开展了死因监测和恶性肿瘤病例报告。69.23%的疾控中心危险因素干预项目均是结合全民健康生活方式行动开展。69.23%的疾控中心参与对本辖区基层医疗卫生机构国家基本公共卫生服务项目开展情况的考核或评估。结论建议政府和卫生行政部门加强制定慢性病相关规划,完善工作机制,加强慢性病防控体系建设,进一步提高各级疾控中心慢性病防控能力。

Objective To understand the status of chronic disease prevention and control of the allocation of resources and the capacity of prevention and control of disease prevention and control institutions at all levels in Fuzhou City, and provide basis for formulating relevant policies. Methods The survey data ability of chronic disease prevention and control center in Fuzhou city in 2014 Chinese disease report on statistical analysis. Results 13 CDC in Fuzhou City, was set up in 30.77% to chronic diseases prevention and control as the main duties of science. Two counties only carry out slow disease demonstration area create(city) district levels of government or the administrative department of Health established the chronic disease prevention and control planning and related work of the existing scheme(Implementation). 3 CDC and media cooperation; in the field of health statistics, 3 CDC and health education institutions and other relevant agencies have cooperation; in non health field, only 1 CDCs have cooperation with the Department of education, the sports sector and the financial sector. Municipal chronic disease working funds accounted for the total funding the work of the 47.01% county(city, district) of chronic disease by the total funds work 3.92%. Chronic disease prevention and control work accounted for4.01% of all personnel in the personnel, the certified accounted for 83.87%, accounting for 64.52% of preventive medicine professional, undergraduate degree with the highest proportion, 64.52%; titles and the highest proportion, 58.06%; the proportion of working life of 5 years following the highest,61.29%.84.62% and 61.54% of the CDC carried out death surveillance and malignancy case report.84.62% and 61.54% of the CDC carried out death surveillance and malignancy case report. The CDC69.23% participation in this area of basic medical and health institutions of national basic public health service project of the assessment or evaluation. Conclusions It is suggested that the government and the health administrative departments should strengthen the formulation of chronic diseases related to planning, improve the working mechanism, strengthen the system construction of chronic disease prevention and control, further improve the CDC at all levels of chronic disease prevention and control capacity.