随着社会经济发展和居民营养状况的改善,慢性非传染性疾病(简称慢病)对人们健康和社会经济的影响日趋严重,根据相关调查数据推算,我国有高血压患者达1.6亿,糖尿病患者2300万人[1],已成为我国影响人群健康、医疗费用增加以及因病致贫的主要因素[2]。社区卫生服务机构是慢病防制 With the socio-economic development and improvement of residents’ nutritional status, chronic non-communicable diseases (referred to as chronic diseases) have an increasingly serious impact on people’s health and socio-economy. According to the relevant survey data, there are 160 million hypertensive patients in our country, 23 million people [1] have become the main factors affecting the health of our population, increasing medical costs and causing poverty due to illness [2]. Community health service agencies are chronic disease prevention