2012年国家慢性病综合防控示范区建设工作分析

目的了解慢性病综合防控示范区工作中的薄弱环节，为推动今后的慢性病防控工作提供依据。方法对2012年创建成功的国家慢性病综合防控示范区各项工作指标得分进行汇总分析和百分制转换。结果2012年101个示范区慢性病防控工作得分为[1181．5（1119，1222）1分，其中，城市示范区得分[1135（1054，1188）]高于农村[1053．5（974，1155）]，差异有统计学意义（Z=-2．2408，P=0．0250），东部示范区得分[1183（1172，1222）1明显高于中部[1040（1007，1104）]和西部地区[1053（983，1103．5）]，差异有统计学意义（P〈0．01）。7大项工作得分进行百分制转换后，得分由高到低依次为保障措施（95．78％）、健康教育与健康促进（94．87％）、患者管理（84．65％）、社区诊断（84．40％）、全民健康生活方式行动（82．76％）、监测（78．07％）、高危人群发现和干预（77．24％）。24类工作中，得分最高的5类工作依次为组织保障、队伍保障、宣传资料技术支持、经费保障、媒体宣传，得分最低的5类工作依次为口腔卫生、肿瘤登记、心脑血管事件报告、工作场所干预、高危人群发现。结论慢性病综合防控示范区的建设，在一定程度上推动了各地的慢性病防控工作。在今后的工作中，有关部门应加大对慢病监测、高危人群发现和干预、患者管理等工作的投入力度，以期能够促进我国慢性病防控工作的进一步发展，更好地改善我国人群的健康状况。

The evaluation of work on the national demonstration areas for comprehensive prevention and control of chronic diseases in 2012

Objective To understand the work of national demonstration areas for comprehensive prevention and control of chronic diseases and to provide a science basis for future work. Methods The scores of all evaluation indicators in national demonstration areas for comprehensive prevention and control of chronic diseases, which was established in 2012, were analyzed and transformed into the corresponding percentages. Results The mean score of work for preventing and controlling chronic diseases in 101 national demonstration areas was [1 181.5 （1 119, 1 222）]. The urban score [1 135 （1 054, 1 188 ）] was significantly higher than rural score [1 053.5（974, 1 155）], and the score in eastern part [1 183（1 172, 1 222）] was significant higher than the score of western [1 053（983, 1 103,5）] and middle parts [1 040（1 007, 1 104）] （P〈0.01）. The score order of 7 items was safeguard （95.78%） 〉 health education and promotion （94.87%） 〉 management of patients （84.65%） with chronic diseases 〉 community diagnosis （84.40%） 〉 health lifestyle （82.76%） 〉 surveillance （78.07%） 〉 discovery and intervention of population with high-risk（77.24%）. Among 24 categories, the five works with the highest scores were organizational guarantee, group organization, technical support of publicity materials, financial support and media publicity; the five works with the lowest scores were the oral hygiene, cancer registry, cardiovascular and cerebrovaseular incident report, workplace intervention and the discovery of population with high risk. Conclusion The establishment of national demonstration areas for comprehensive prevention and control of chronic diseases has promoted the work of national chronic disease control and prevention to some extent. In the future, the relative departments should pay attention to the monitoring of chronic diseases, discovery and intervention of population with high risk, and the management of patients with chronic diseases in order to improve the health of residents in China.