2020年国家慢性病综合防控示范区与非示范区慢性病防控资源配置情况分析  

Analysis on allocation of chronic disease prevention and control resources in national demonstration and nondemonstration areas for comprehensive prevention and control of chronic diseases in 2020

作　　者：张瑞祎 宜准 徐婷玲 蒋炜[1] 董文兰[1] 周脉耕[1] ZHANG Ruiyi;YI Zhun;XU Tingling;JIANG Wei;DONG Wenlan;ZHOU Maigeng(National Center for Chronic and Non-communicable Disease Control and Prevention,Chinese Center for Disease Control and Prevention,Beijing 100050,China;Department of Epidemiology,School of Public Health,Shandong University,Jinan,Shandong Province 250012,China;Institute of Chronic Disease,Shenyang Center for Disease Control and Prevention,Shenyang,Liaoning Province 110168,China;不详)

机构地区：[1]中国疾病预防控制中心慢性非传染性疾病预防控制中心,北京100050 [2]山东大学公共卫生学院流行病学系,山东省济南250012 [3]沈阳市疾病预防控制中心慢病所,辽宁省沈阳110168

出　　处：《中国慢性病预防与控制》2024年第3期193-197,共5页Chinese Journal of Prevention and Control of Chronic Diseases

基　　金：国家重点研发计划项目(2018YFC1315304)。

摘　　要：目的对比分析国家慢性病综合防控示范区(以下简称“示范区”)与非示范区慢性病防控资源配置情况,为合理配置慢性病防控资源和推动示范区建设提供依据。方法于2021年12月在全国范围内开展2020年全国区(县)慢性病防控资源配置情况的调查,采用区(县)慢性病防控资源配置情况调查问卷,通过国家慢性病综合防控示范区管理信息系统进行线上问卷调查,分析示范区与非示范区人力、财力、物力、信息、技术、政策6个方面的资源配置情况。共664个区(县)完成了调查,其中示范区480个,非示范区184个。采用SAS 9.4软件进行Wilcoxon秩和检验、χ^(2)检验。结果示范区疾控机构慢性病防控专业技术人员数量中位数(5人)、慢性病防控经费占疾控机构总经费比例(11.00%)均高于非示范区(分别为4人、7.00%);除健康超市外,示范区配置健康支持性环境数量均高于非示范区;示范区开展心脑血管监测(84.29%)、肿瘤登记(95.54%)、慢性阻塞性肺疾病(COPD)监测(33.76%)的覆盖率均高于非示范区(分别为54.59%、89.01%、20.33%),而开展慢性病危险因素监测的覆盖率(78.13%)低于非示范区(92.86%);示范区开展重点癌症、心脑血管疾病、COPD筛查与早期诊断覆盖率均高于非示范区;示范区将慢性病防控工作纳入政府社会经济发展规划(97.88%)、制定慢性病防控综合规划(86.84%)、建立慢性病防控多部门联络员制度(98.09%)、成立慢性病防控领导协调组织(99.58%)的区(县)覆盖率均高于非示范区(分别为68.68%、51.10%、63.74%、65.38%),差异均有统计学意义(P<0.05,P<0.01)。结论示范区的慢性病防控资源总体配置情况好于非示范区,建议充分发挥示范区的示范引领作用,加强慢性病防控资源配置,推进慢性病防控工作的高质量开展。Objective To compare and analyze the allocation of chronic disease prevention and control resources between national demonstration zones for comprehensive prevention and control of chronic diseases(referred to as"the demonstration area")and non-demonstration area,and provide the basis for rational allocation of chronic disease prevention and control resources and promoting the construction of demonstration area.Methods In December 2021,the nationwide investigation on the allocation of chronic disease prevention and control resources in districts and counties of China in 2020 was conducted.The investigation was performed with the questionnaire on the allocation of chronic disease prevention and control resources at the district and county level.The questionnaire investigation was conducted on line with National Chronic Disease Comprehensive Prevention and Control Demonstration Area Management Information System.The allocation of 6 resources(manpower,financial resources,material resources,information,technology and policy)in the demonstration areas and non-demonstration areas was analyzed.The investigation of 664 districts(counties)was completed,including 480 demonstration zones and 184 non-demonstration zones.Wilcoxon rank sum test andχ^(2) test were used to analyze the data,the used software was SAS 9.4.Results In the demonstration area,the number median of professional and technical personnel for chronic disease prevention and control was 5 persons,and the proportion of chronic disease prevention and control funds in the total funds of Center for Disease Control and Prevention(CDC)was 11.00%;which were significantly higher than those(4 persons and 7.00%)in non-demonstration area;in addition to the health supermarket,the allocation number of healthy supporting environments in the demonstration area was higher than that in the nondemonstration area.The coverage rates(84.29%,95.54%and 33.76%)of cardiovascular and cerebrovascular monitoring,tumor registration and chronic obstructive pulmonary disease(COPD)monitorin

关 键 词：慢性病 资源配置 监测 

分 类 号：R197[医药卫生—卫生事业管理]