疾控系统视角下我国慢性病防控领域中多部门合作与社会参与现状

Multi-sectoral coordination and social participation for prevention and control of chronic disease in China from CDC perspective

目的了解我国各级疾病预防控制中心(以下简称"疾控中心")慢性病防控工作中开展多部门合作和社会参与情况,为制定相关政策提供依据。方法中国疾病预防控制中心于2014年9月-2015年3月通过网络问卷收集全国省、地市和县(区)级3 395家疾控中心的数据,了解2013年慢性病防控多部门合作和社会参与情况。利用SAS 9.3统计软件进行描述性分析。结果各级疾控中心与卫生系统内部机构在慢性病防控领域开展合作程度最高的是二级以上医院,参与合作的疾控中心所占比例为33.2%;合作程度最低的是专业防治机构,参与合作的疾控中心所占比例仅为6.5%。各级疾控中心与卫生系统外部机构在慢性病防控领域开展合作程度最高的是教育部门,参与合作的疾控中心所占比例为31.5%;合作程度最低的是农业部门,参与合作的疾控中心所占比例仅为5.2%。疾控中心与卫生系统内外各类机构合作的比例均呈现省级、地市级和县(区)级递减趋势。与媒体、非政府组织(NGO)等其他社会力量在慢性病防控领域开展合作的疾控中心所占比例分别为42.0%和7.1%。结论疾控系统是慢性病防控工作的主力军。我国慢性病防控领域开展多部门合作和社会参与的程度偏低,需要进一步建立长效的慢性病防控多部门合作机制,同时进一步发挥媒体等社会力量的作用,真正提高慢性病防控效率。

Objective To analysze the conditions of multi-sectoral coordination and social participation for prevention and control of chronic diseases,and to provide the basis for making the relative policy.Methods From September of 2014 to March of 2015,Chinese Center for Disease Control and Prevention(CDC)collected 3 395 data form all CDCs of China using the questionnaires by the web to understand the situation of multi-sectoral coordination and social participation for prevention and control of chronic diseases.SAS 9.3 statistical software was used to conduct the descriptive statistical analysis of the data.Results The highest level of cooperation for prevention and control of chronic diseases among the CDCs at all levels and the internal institutions of the health system was the secondary hospitals and above,the proportion of cooperated CDCs was 33.2%.The lowest level of cooperation was the special prevention and treatment organizations,the proportion of cooperated CDCs was only 6.5%.The highest level of cooperation for prevention and control of chronic diseases among the CDCs at all levels and the external institutions of the health system was education department,the proportion of cooperated CDCs was 31.5%.The lowest level of cooperation was agriculture department,the proportion of cooperated CDCs was only 5.2%.The proportion of cooperation for prevention and control of chronic diseases among the CDCs at all levels and the internal or the external institutions of the health system showed a decreasing trend of province level,city level and county level.The proportions of media and NGOs involved in the prevention and control of chronic diseases by the CDCs were 42.0%and 7.1%respectively.Conclusion Center for disease control and prevention organizations is the main force for prevention and control of chronic diseases.However,the degrees of multi-sectoral coordination and social participation in the field of chronic disease prevention and control in China were low.It is necessary to further establish a longterm multi-sectoral coordination mechanism for prevention and control of chronic diseases.Meanwhile,the roles of media and other social forces will be further exerted to truly improve the efficiency of prevention and control of chronic diseases.