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目的了解肇庆市慢性非传染性疾病(慢性病)预防控制(防控)能力现状。方法通过网络问卷对与慢性病防控工作相关的肇庆市所有疾病预防控制中心(CDC)和基层医疗卫生机构进行调查,采用调查问卷为《全国慢性病防控能力调查问卷》。结果共回收疾控机构和基层医疗卫生机构有效问卷分别为7份和109份,回收率均为100%。政策和基础配置能力:市级政府配置慢性病防控经费;肇庆市3.75%的CDC在岗人员从事慢性病防控工作,经费占总经费的2.37%,17.36%基层医疗卫生机构在岗人员从事公共卫生服务的慢性病防控工作,经费占基层医疗卫生机构总体财政拨款的11.38%。60%以上基层医疗卫生机构配置体重秤、身高计、腰围尺、血压计、血糖仪等设备。培训指导和合作能力:市级和县级CDC、94所基层医疗卫生机构开展培训;市级和县级CDC、90所基层医疗卫生机构开展现场技术指导;3所县级CDC与媒体合作。监测和评估能力:所有CDC均开展死因监测工作。3所县级CDC开展全民健康生活方式行动干预工作;所有基层医疗卫生机构开展35岁以上居民首诊测血压服务、65岁以上老年人免费体检服务和建档工作以及高血压和糖尿病患者建档工作和相应的随访管理工作;88所基层医疗卫生机构开展45岁以上居民免费血糖检测服务。结论肇庆市慢性病防控能力较薄弱。
Objective To understand the status of prevention and control (prevention and control) of chronic non-communicable diseases (chronic diseases) in Zhaoqing City. Methods Through the network questionnaire, we conducted a survey on all CDC and primary health care institutions in Zhaoqing City, which were related to the prevention and control of chronic diseases. The questionnaire was used as the National Questionnaire on Chronic Disease Prevention and Control. Results There were 7 valid questionnaires and 109 valid questionnaires retrieved from CDC and primary health care institutions. The recovery rates were 100%. Policy and Basic Allocation Capability: The municipal government allocates funding for prevention and control of chronic diseases; 3.75% of CDC staff in Zhaoqing City are engaged in prevention and control of chronic diseases, with funds accounting for 2.37% of the total funding and 17.36% of the staff in public health service of grassroots medical and health institutions Chronic disease prevention and control work, funds for primary health care institutions accounted for 11.38% of the total financial allocations. More than 60% grass-roots medical and health institutions equipped with scales, height gauge, waist circumference ruler, sphygmomanometer, blood glucose meter and other equipment. Training and coaching capacity: 94 municipal and county-level CDCs and 94 primary health care institutions carry out training; municipal and county-level CDCs and 90 primary health care institutions conduct on-site technical guidance; and 3 county-level CDCs work with the media. Monitoring and Evaluation Capabilities: All CDCs conduct causal monitoring. 3 county-level CDC to carry out universal health lifestyle intervention; all primary health care institutions to carry out the first 35-year-old residents over the first measurement of blood pressure services, free medical services for older people over the age 65 and filing work and hypertension and diabetes patients file Work and corresponding follow-up management work; 88 primary health care institutions to carry out free health services for people over the age of 45 testing. Conclusion Zhaoqing City, prevention and control of chronic diseases is weak.