嘉定区社区慢性病防治人力资源配置和慢性病管理现状调查与分析

发布时间：2018-05-24 01:39

本文选题：慢性非传染性疾病 + 人力资源　；参考：《中国卫生资源》2015年03期

【摘要】：目的 :了解嘉定区的慢性病管理现状及社区卫生服务中心的机构信息和慢性病防治人力资源配置情况,为进一步完善慢性病综合防治管理体系提供依据。方法 :抽取嘉定区7家社区卫生服务中心,对其慢性病管理负责人进行问卷调查。结果 :被调查社区2012年的公共卫生经费总额为6 622.69万元,其中用于慢性病防治的经费占13.24%。人员构成方面,从事慢性病防治的专业人员共75人,其中护理专业最多,占37.33%;初级职称人员占到88.0%;工龄在5年以上的比例为78.67%;每年人均培训次数为2.92次,其中参加省级及以上专业培训的人均次数为0.13次/年。全科医生团队中有73.77%的人参与慢性病防治工作。人员数量方面,每千名高血压患者配备的慢性病防治人员数为2.04名,每千名糖尿病患者配备6.46名,每千名肿瘤患者配备50.53名。慢性病管理方面,高血压、糖尿病和恶性肿瘤的管理率分别达到99.75%、100%和100%,慢性呼吸系统疾病管理尚缺位。结论 :嘉定区社区慢性病防治机构设置和人力资源构成基本达到了世界卫生组织制定的在初级卫生保健层面上进行干预的慢性病综合防控方案(WHO PEN)的要求,但防治人员数量和培训需增加,慢病经费所占份额还有待提高,慢性病管理体系仍需进一步完善。
[Abstract]:Objective: to understand the present situation of chronic disease management in Jiading district, the organization information of community health service center and the allocation of human resources for chronic disease prevention and control, and to provide the basis for further improving the management system of comprehensive chronic disease prevention and treatment. Methods: 7 community health service centers in Jiading district were investigated by questionnaire. Results: the total public health expenditure in the investigated community was 66.2269 million yuan in 2012, of which 13.24 was spent on chronic disease prevention. In terms of personnel composition, there are 75 professionals engaged in the prevention and treatment of chronic diseases, of whom the nursing profession is the most, accounting for 37.33; the junior professional title is 88.0; the proportion of persons with more than five years of service is 78.67; the number of per capita training per year is 2.92, Among them, the per capita number of professional training at the provincial level and above was 0.13 times per year. 73.77% of the general practitioners were involved in the prevention and treatment of chronic diseases. In terms of personnel, the number of chronic disease prevention and treatment personnel per 1,000 hypertension patients is 2.04, diabetes is 6.46 per 1,000, and cancer is 50.53 per 1,000 patients. In the management of chronic diseases, the management rate of hypertension, diabetes and malignant tumor reached 99.7575% and 100% respectively, and the management of chronic respiratory diseases was still absent. Conclusion: the establishment of community chronic disease prevention and control institutions and the composition of human resources in Jiading District basically meet the requirements of WHO Penn, a comprehensive program of chronic disease prevention and control at the level of primary health care developed by the World Health Organization. But the number of prevention and cure personnel and training need to be increased, the proportion of chronic disease funds still needs to be increased, and the chronic disease management system needs to be further improved.
【作者单位】：嘉定区疾病预防控制中心;WHO初级卫生保健合作中心;
【基金】：上海市嘉定区卫生和计划生育委员会立项课题“嘉定区初级卫生保健慢性病综合防控框架的研究”(2014-KY-19)
【分类号】：R197.1

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