自贡市自流井区社区卫生服务及慢性病管理能力调查

目的了解四川省自贡市自流井区社区卫生服务机构卫生资源状况和慢性病防治工作开展情况,为制定慢性病防控工作提供科学依据。方法采用专题调查、问卷调查,利用数据库进行资料统计分析。结果 2011年调查自流井区17个社区卫生服务机构和乡镇卫生院以及入户调查居民4 699户,被调查单位慢病管理人员占医务人员的26%;公共卫生服务专项补助是按照服务人口拨付,与绩效考核脱节;高血压、糖尿病监测发病率分别为2501.1/10万、986.9/10万,建档登记率分别为27.68%、25.73%,规范管理率分别为25.48%、17.48%,规范控制率分别为20.19%、15.08%;社区居民健康知识知晓率78%以下,服务对象对社区卫生服务方便就医的满意度68.13%。结论自贡市自流井区社区卫生服务机构慢性病防治力量薄弱,基本公共卫生服务专项资金管理缺乏有效的考核监督机制;慢性病综合防控管理率较低。

Community Health Services and Capacity of Chronic Disease Management in Ziliujing District of Zigong City

Objective To investigate and analyze the status disease in communities of Ziliujing district, Zigong, and to investigation and questionnaire survey were both employed of the health resources and prevention and control of chronic provide prevention and control references. Methods Special to collected data. Results Seventeen communities and town- ship hospitals and 4 699 households were investigated. The investigated managers of chronic disease took a percentage of 26% of the total medical staff. The special subsidies were allocated according to the population, which came apart from performance assessment. The surveillance incidence of of hypertension and diabetes was respectively 2501.1/105 and 986.9/105 ;the registration rate was respectively 27.68% and 25.73 % ;the standard management rate was respectively 25.48% and 17.48% and the standard control rate was respectively 20. 19% and 15.08%. The awareness rate of health knowledge among the residents was below 78% ;the satisfaction rate of conveniently seeking for medical services was 68. 13%. Conclusion The prevention and control force of chronic disease in communities of Zigong Ziliujing district is weak;assessment and supervision mechanism is deficient on special fund for basic public health services;moreover ,the management rate of prevention and control of chronic disease is relatively low.