全国慢性病社区综合防治示范点基本情况调查

目的了解2004年全国慢性病社区综合防治示范点机构、人员、经费和保障机制、开展主要工作等基本情况,明确今后的工作方向。方法采用自填问卷的方式对32个全国慢性病社区综合防治示范点进行调查。结果31个示范点慢性病防治人员共计1 480人,92.8%为初级、中级和无职称人员;医护人员数量少,兼职和聘任人员超过1/3,52%的示范点每万人医护人员数不足2人;各点人员培训不均衡,53.9%的培训集中在2个示范点,其他29个示范点的培训量少,省级培训明显偏少;8个(25%)示范点能综合开展人群健康教育、高危人群的多种危险因素干预和多种病种的患者管理工作;示范点政府拨款普遍不足,近50%的示范点政府投入比例低于30%。结论示范点机构、人员初具规模,防治模式初显雏形,但各示范点人力资源不足,培训量少且不均衡,经费不足,综合防治工作发展不平衡。建议明确职责任务,建立考评制度,加强人员培训,提高综合防治能力,落实慢性病防治工作内容,加强政府投入。

The Basic Situation of Community-based Demonstration Sites for the Integrated Prevention and Control of Non-Communicable Chronic Diseases in China

Objective To know the current basic situation,including the frameworks,personnel,funds and main works,of national community-based demonstration sites for prevention and control of non-communicable chronic diseases(NCD),and to make certain the direction for the future work.Methods 32 of the national demonstration sites were investigated by a standard questionnaire in 2004.Results The total number of the medical personnel for NCD control and prevention in the demonstration sites was 1480,92.8% of them were with below the middle professional title.The amount of whole-time doctors and nurses was less than 2/3,but more than 1/3 of staff was in part-time job.In 52% of the sites,the ratio of doctors and nurses was less than 2.0 per 10 thousands population.The vocation and technical training was insufficient,only 2 sites took the training course on 53.9% of the medical staff,and other sites,especially the provincial sites,seldom took training mission.Eight(25%) sites implemented the integrated prevention and intervention on NCD.The government investment was insufficient in most of the sites;the proportion of government investment only accounted for below 30% in half of sites.Conclusion The result indicated that by the end of 2004,in all demonstration sites,the model of management on NCD had been started to develop.However,there was lack of health workforce,working funds and training courses.It was suggested that more efforts be made to clarify the responsibility and duty,to establish the system of evaluation,strengthen the vocation training,improve capacity of integrated control and prevention on NCD,and intensify the government investment.