上海市疾病预防控制系统慢性病防控能力现状分析  

Analysis on the capacity for chronic noncommunicable diseases prevention and control in Shanghai

作　　者：阮晔[1] 程旻娜[1] 彭鹏[1] 姚海宏[1] 施燕[1] 

机构地区：[1]上海市疾病预防控制中心慢性非传染病与伤害防治所,上海200336

出　　处：《中国卫生资源》2016年第6期498-502,共5页Chinese Health Resources

摘　　要：目的 :对上海市疾病预防控制系统慢性病防控能力开展评估分析,以了解该市慢性病防控能力基本情况及现有能力。方法 :通过"全国慢性病预防控制能力调查(疾控系统)"网络问卷,对2013年上海市疾控系统的慢性病预防控制能力进行回顾性调查。结果 :在机构配置情况方面,上海市疾病预防控制中心及各区(县)级疾控中心均设立了专门的慢性病防控科所或以慢性病防控为主要职责的科所,2013年全市慢性病防控经费3 541万元,慢性病防控在岗工作人员有287人,占在岗总人数的8.4%。在政策制定能力方面,上海市及15个(88.2%)区(县)级政府制定了慢性病预防控制综合规划,12个(70.6%)区(县)有现行慢性病防控实施方案。合作参与能力:与媒体开展合作的比例较高,上海市疾控中心及部分区(县)级疾控中心参与过慢性病政策制定。教育培训指导能力:市级、14个(82.4%)区(县)级疾控中心均举办过慢性病防控培训班。在监测能力方面,上海市疾控系统开展了死因监测、慢性病危险因素相关监测及恶性肿瘤病例报告。在干预能力方面,市区两级疾控中心均开展了高血压、糖尿病干预,但开展危险因素干预的比例不高。在评估能力方面,上海市疾控中心及16个(94.1%)区(县)级疾控中心均对辖区内慢性病应对情况开展了定期评估。在科研能力方面,共主持慢性病研究领域的国内课题43项、国际课题1项,在国内外期刊发表慢性病相关论文116篇,但未获得慢性病领域科技进步奖。结论 :该市慢性病防控工作已取得较大的成绩,但仍存在不足,面对日益增长的慢性病防控需求,需要从政府层面进一步加强经费保障与投入、人员队伍建设、学科建设以及多部门合作交流。Objective ：To assess the capacity for noncommunicable diseases（NCDs） prevention and control in the centers for disease control and prevention（CDCs） in Shanghai and get knowledge of basic information of it. Methods ：In 2013,all CDCs in Shanghai were retrospectively surveyed by on-line questionnaire system of the national capacity for NCDs prevention and control. Results ：From the perspective of infrastructure,Shanghai CDC and all district/county CDCs had professional departments of NCDs and special funds for NCDs prevention and control,with a total of 35.41 million yuan. Two hundred and eighty-seven staff members worked on NCDs prevention and control,accounting for 8.4% of all the CDCs＇ personnel. From the perspective of policies,the Shanghai Municipal Government and 15（88.2%） district/county governments formulated the comprehensive planning of NCDs prevention and control,in which 12（70.6%） district/county CDCs had their implementation plan. From the perspective of capacities regarding cooperation and participation,most CDCs had experience in collaboration with mass media and participated in NCDs policymaking. From the perspective of capacity on training and guidance,Shanghai CDC and 14 district/county CDCs（82.4%） had organized trainings on NCDs prevention and control. From the perspective of surveillance capacity,all CDCs implemented registration of death causes,NCDs related risk factors surveillance and cancer case report. From the perspective of intervention and management capacity,all CDCs conducted individualized interventions on hypertension and diabetes,but the proportion of risk factors intervention was low. From the perspective of capacity on assessment,Shanghai CDC and 16 district/county CDCs（94.1%）carried outevaluation programs related to the responses on NCDs in their respective jurisdiction. From the perspective of scientific research,there were 43 domestic projects,an international project and 116 papers published. However,no prize in science and technology were gotten

关 键 词：慢性非传染性疾病 预防控制 能力评估 

分 类 号：R197.1[医药卫生—卫生事业管理]