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目的了解北京市怀柔区基层医疗卫生机构对慢性病的预防控制能力,分析慢性病预防控制的需求情况及工作中存在的制约因素,加强该区慢性病预防控制能力建设,为政府和卫生行政部门制定相关政策和预防控制策略提供依据。方法由参加市疾病预控制中心培训的区疾病预防控制中心工作人员对全区16家社区卫生服务中心及其附属社区卫生服务站进行统一问卷调查。结果社区卫生服务站人力资源分配不均衡,部分社区站人力资源短缺;慢性病防治服务经费不足;社区卫生服务站仪器设备不足;社区卫生服务中心不同程度的缺乏现行的国家级慢性病防控相关规范或指南,社区卫生服务站存有率更是寥寥无几;慢性病管理率低;脑卒中康复器械服务不足。结论应对人力资源进行调整,加大社区卫生服务经费的投入,加强社区卫生服务站慢性病防控相关设备或仪器的建设,加强对慢性病患者的规范化管理。
Objective To understand the capacity of prevention and control of chronic diseases in primary health care institutions in Huairou district of Beijing, to analyze the demand of chronic disease prevention and control and the constraints in their work, to strengthen the capacity building of prevention and control of chronic diseases in the area, to formulate relevant policies for the government and health administrative departments And prevention and control strategies to provide the basis. Methods Participants from the Center for Disease Control and Prevention of Disease Control and Prevention participated in a unified questionnaire survey of 16 community health service centers and their affiliated community health service stations in the district. Results The distribution of human resources in community health service stations was unbalanced, the shortage of human resources in some community stations, the lack of funding for chronic disease prevention and treatment services, the lack of equipment and facilities in community health service stations, the lack of existing national standards for prevention and control of chronic diseases at community health service centers, or Guideline, community health service station deposit rate is very few; chronic disease management rate is low; Stroke rehabilitation equipment service. Conclusion The human resources should be adjusted to increase community health service funding, strengthen community health service station chronic disease prevention and control related equipment or equipment construction, and strengthen the standardized management of chronic diseases.