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目的探讨适合城区居民的慢性非传染性疾病(简称慢病)管理模式。方法总结与分析宁波市海曙区开展慢病防控工作的历程、主要做法与成果。结果海曙区建立了慢病防控管理长效机制,属地化管理和签约式服务推动了慢病防控的深入发展,慢病患者发现能力、系统管理率逐年提高,经过长期探讨最终确立了适合城区居民的签约式服务管理模式。结论提高患者发现能力是开展慢病防控工作的前提条件,提供适合群众需求的慢病服务模式是做好慢病防控工作的关键所在。
Objective To explore the management model of chronic non-communicable diseases (referred to as chronic disease) suitable for urban residents. Methods Summarize and analyze the course, main methods and results of chronic disease prevention and control in Haishu District of Ningbo City. Results The long-term mechanism of chronic disease prevention and control was established in Haishu District. The localization management and contracted services promoted the further development of chronic disease prevention and control. The ability of patients with chronic disease was found and system management rate increased year by year. Finally, Urban residents contractual service management model. Conclusion Improving patient discovery ability is a prerequisite for prevention and control of chronic diseases. Providing a chronic disease service mode that is suitable for the needs of the masses is the key to prevention and control of chronic diseases.