浙江省各级疾病预防控制机构慢性病防控能力分析  

Capacity of non-communicable disease control and prevention among CDC centers in Zhejiang Province

作　　者：陈向宇[1] 钟节鸣[1] 陆凤[1] 徐春晓 吴琳[2] 方乐[1] CHEN Xiangyu;ZHONG Jieming;LU Feng;XU Chunxiao;WU Lin;FANG Le(Institute of Non-communicable Disease Control and Prevention,Zhejiang Provincial Center for Disease Control and Prevention,Hangzhou,Zhejiang 310051,China;Jinhua Polytechnic,Jinhua,Zhejiang 321017,China)

机构地区：[1]浙江省疾病预防控制中心慢性非传染性疾病预防控制所,浙江杭州310051 [2]金华职业技术学院,浙江金华321017

出　　处：《中国农村卫生事业管理》2023年第5期364-369,共6页Chinese Rural Health Service Administration

基　　金：浙江省医药卫生科技计划项目(2020KY518,2020RC049);浙江省哲学社会科学规划课题(22NDQN295YB)。

摘　　要：目的了解浙江省各级疾病预防控制中心(疾控中心)慢性病防制能力状况,为加强全省慢性病防制能力建设提供依据。方法通过2017年全国慢性病预防控制能力调查系统网络问卷,收集浙江省各级疾控中心慢性病防制能力调查结果,描述性分析各项慢性病防制能力情况。结果(1)政策能力:24.27%的单位所在地政府或卫生行政部门有现行慢性病防控相关规划;(2)基础配置能力:各级疾控中心均设有承担慢性病防制工作的部门,慢性病防制工作人员占比在省市县三级分别为5.47%,5.47%和8.84%。慢性病防制工作经费占比在省市县三级分别为2.06%,1.49%和4.86%。(3)培训与指导能力:省级、全部地市级及97.80%的县(市、区)级疾控中心举办了慢性病防制培训班。(4)合作与参与能力:各级疾控中心与媒体、教育部门及体育部门开展合作的比例较高,分别为89.32%,63.11%和53.40%。(5)监测能力:各级疾控中心均开展了死因监测、恶性肿瘤病例报告、脑卒中病例报告、心肌梗死病例报告等监测工作。危险因素方面,开展烟草使用监测的单位最多。(6)干预能力:各级疾控中心均开展了高血压、糖尿病患者干预工作。危险因素方面,开展烟草使用干预的单位最多。(7)评估能力:省级,63.64%的地市级及61.54%的县(市、区)级疾控中心对本辖区慢性病的应对情况开展了定期评估。(8)科研能力:15.53%的单位主持了慢性病研究领域科研课题共56项,共发表学术论文76篇。结论浙江省各级疾控中心在慢性病政策制定、人力资源配置及经费投入方面亟需大力提升。Objective To explore the capacity of non-communicable diseases(NCDs)control and prevention among centers for disease control and prevention(CDC)in Zhejiang Province and to provide basis for strengthening the capacity of NCDs control and prevention in Zhejiang Province.Methods An online questionnaire survey was carried out in 2017 NCDs prevention and control capacity survey system to collect data of capacities of CDC centers of Zhejiang Province at all levels,which were analyzed with descriptive statistical methods.Results The CDCs which had current plans related with NCDs control and prevention accounted for 24.27%.All CDCs in Zhejang had departments responsible for NCDs control and prevention,the staff in these departments accounted for 5.47%,5.47%and 8.84%respectively in provincial,municipal and county level CDCs.The funds for NCDs control and prevention accounted for 2.06%,1.49%and 4.86%in provincial,municipal and county level CDCs.Provincial CDC,all municipal CDCs and 97.80%county CDCs had held training courses on NCDs prevention and control.All CDCs had the highest percentage of collaborations with media,education and sports organizations,accounting for 89.32%,63.11%and 53.40%respectively.All CDCs had carried out surveillance work related to NCDs including death cause surveillance,cancer case report,stroke case report and myocardial infarction case report.Most CDCs conducted tobacco use surveillance.All CDCs had carried out intervention work on hypertension and diabetes.Most CDCs conducted tobacco use intervention.The provincial CDC,63.64%of municipal CDCs and 61.54%of county CDCs had conducted regular assessment on the local response to NCDs control and prevention.In 2017,15.53%of the CDCs hosted 56 research projects and 76 academic papers were published.ConclusionsThe CDCs in Zhejiang Province at all levels were still weak in the capacity of NCDs policy-making,personnel allocation and financial input,which needed to be greatly improved.

关 键 词：慢性非传染性疾病 预防控制 能力 

分 类 号：R197.2[医药卫生—卫生事业管理]