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目的分析北京市大兴区基层医疗卫生机构的慢性病预防控制能力现状以及工作中存在的制约因素和需求情况,为更好地开展慢性病预防控制工作提供依据。方法由经过培训的调查员对全区21家社区卫生服务中心和124家社区卫生服务站进行统一的问卷调查。结果社区卫生服务站人力资源分配不均衡,人力资源短缺;慢性病防控经费不足;100%的社区卫生服务中心和社区卫生服务站慢性病防控相关设备或仪器配置不足;100%的社区卫生服务中心和社区卫生服务站均不同程度的缺乏现行的国家级慢性病防控相关规范或指南;慢性病早发现、管理干预和科研能力不足。结论慢性病防控资源匮乏,经费和人员与慢病负担不相符,慢性病防控能力有待提高。
Objective To analyze the status quo of chronic disease prevention and control capacity of primary health care institutions in Daxing District of Beijing and the constraints and needs in their work so as to provide evidence for better prevention and control of chronic diseases. Methods A total of 21 community health service centers and 124 community health service stations in the district were surveyed by trained investigators. Results The distribution of human resources in community health service stations was unbalanced, the shortage of human resources; the lack of funds for prevention and control of chronic diseases; inadequate allocation of equipment or instruments for chronic disease prevention and control in 100% of community health service centers and community health service stations; and 100% of community health service centers And community health service stations to varying degrees, lack of the current national-level guidelines and guidelines for prevention and control of chronic diseases; early detection of chronic diseases, management interventions and lack of scientific research capabilities. Conclusion Chronic disease prevention and control resources are scarce, funds and personnel do not match with chronic disease burden, prevention and control of chronic diseases need to be improved.