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目的了解安徽省2011~2014年慢病示范区进展情况,为慢病示范区长效机制建设提供依据。方法编制安徽省慢病示范区2011~2014年进展情况调查问卷,收集保障措施、监测、健康教育与健康促进、全民健康生活方式行动、高危人群发现和干预、患者管理方面内容,进行动态分析。结果 90%以上的示范区每年至少召开一次领导小组工作会议;参与多部门合作的部门数最多为33个示范区,最少为6个示范区;经费投入逐年减少;所有慢病示范区均成立了独立的慢病科。截至2014年,开展死因监测、肿瘤登记、心脑血管事件报告的比例分别为100%(36/36)、91.7%(33/36)和55.6%(20/36)。每年在电视、广播、报刊、网站播放或设置慢病宣传节目的示范区分别占85%、36%、52%、76%以上。近60%的示范区健康自助监测点每年零增加。2014年50%示范区开展了癌症早诊早治工作。未开展儿童龋齿充填和窝沟封闭的示范区覆盖率分别达到三分之二和五分之二。一年内完成活动的自我管理小组达到10个的示范区,占90%以上。结论慢病示范区建设一定程度上推动了全省慢病防控工作。
Objective To understand the progress of chronic disease demonstration area from 2011 to 2014 in Anhui Province and provide evidence for the construction of long-term mechanism of chronic disease demonstration area. Methods The progress questionnaire was compiled from 2011 to 2014 in the chronic disease demonstration area in Anhui Province, and the collection of safeguards, monitoring, health education and health promotion, universal health lifestyle activities, the detection and intervention of high-risk groups, and patient management were conducted. Results More than 90% of the demonstration areas held at least a working group meeting each year; the number of departments involved in multisectoral cooperation was up to 33 demonstration areas with a minimum of 6 demonstration areas; the funding was reduced year by year; and all chronic disease demonstration areas were established Independent chronic disease department. As of 2014, the rates of death cause surveillance, tumor registration and cardiovascular and cerebrovascular events were 100% (36/36), 91.7% (33/36) and 55.6% (20/36), respectively. Each year, 85%, 36%, 52% and 76% of the demonstration areas are broadcast on television, radio, newspapers, websites or set up chronic disease publicity programs respectively. Nearly 60% of demonstration area health self-service monitoring points increase annually. In 2014, 50% of demonstration areas conducted early diagnosis and early diagnosis of cancer. Demonstration coverage of failed dental caries filling and pit and furrow closure in children was two-thirds and two-fifths respectively. Self-management groups that completed their activities within a year reached 10 demonstration zones, accounting for more than 90%. Conclusion The construction of chronic disease demonstration area to a certain extent, promote the province’s prevention and control of chronic diseases.