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目的通过梳理近35年来慢性病防控相关重要政策,了解落地社区的慢性病防控政策的发展历程,为更好地推进社区慢性病防控政策性支持环境提供参考。方法采用文献检索、文件查阅与分类等方法,按照政策出台的时间、类别和文件内容,分别围绕国际、国家、上海市和嘉定区4个层面的文件出台历程进行梳理。结果 1981-2015年期间,国际、国家、上海市和嘉定区4个层面发布的文件有277份,其中与社区慢性病防控相关的重要政策文件共179份。在这179份文件中,国际级10份(5.59%)、国家级56份(31.28%)、上海市87份(48.60%)、嘉定区26份(14.53%)。2000年以前出台的有19个(其中国际2个,国内17个)、2001-2008年出台61个(其中国际3个,国内58个)、2001-2015年出台99个(其中国际5个,国内94个)。国际、国家、上海市和嘉定区4个层面的文件,虽然出台的时间与侧重点不同,但这一系列文件的出台为社区慢性病防控工作提供坚实的政策性保障。结论随着社区慢性病防控政策的出台与落实,及各项配套措施的推进,社区慢性病综合防治工作会进一步得到发展与提高。但如何进一步完善配套政策,还需要各级相关部门进一步科学谋划。
OBJECTIVE To understand the development history of chronic disease prevention and control policies in land-based communities through combing important policies on prevention and control of chronic diseases in the past 35 years and provide reference for better promoting the community-based chronic disease prevention and control policy support environment. Methods According to the time, type and content of the policy, the methods of document retrieval, document inspection and classification were adopted to review the four documents of international, national, Shanghai and Jiading districts respectively. Results During the period from 1981 to 2015, there were 277 documents published at four levels of international, national, Shanghai and Jiading districts, among which 179 were important policy documents related to the prevention and control of chronic diseases in the community. Of the 179 documents, 10 (5.59%) international, 56 (31.28%) national, 87 (48.60%) Shanghai and 26 (14.53%) Jiading District. There were 19 (including 2 international and 17 domestic ones) issued before 2000, 61 (including 3 international and 58 domestic) from 2001 to 2008, 99 (including 5 international, 94 in China). Although the documents issued at four levels of international, national, Shanghai and Jiading districts are different in time and emphasis, the promulgation of this series of documents will provide a solid policy guarantee for the prevention and control of chronic diseases in the community. Conclusion With the promulgation and implementation of community chronic disease prevention and control policies and the promotion of various supporting measures, the work of comprehensive prevention and control of chronic diseases in the community will be further developed and enhanced. However, how to further improve supporting policies also requires further scientific planning by relevant departments at all levels.