盘锦市慢性病防治管理调查研究

发布时间：2018-08-29 16:08

【摘要】：近年来,慢性病呈现出逐年高发的趋势,开始受到公众的广泛关注,慢性病防治不仅是技术问题,更是管理问题,社会问题。通过对慢性病防治管理工作的调查研究,政府部门在提供基层卫生服务中,能够针对不同人群需求实施不同的防控管理技术,达到全面提升公共卫生服务水平的效果。慢性病防治工作不仅对每个患病个体和家庭有重要意义,更对于全社会减轻经济负担,提高人群生存质量有重大意义。本研究通过对盘锦市慢性病防治人群(高危人群和患病人群)相关现状开展深入调查,采取问卷调查和个案访谈等形式,了解重点人群的慢性病防治需求和慢性病防治医疗卫生机构提供服务情况,针对现行慢性病管理中存在的问题提出合理、可行的对策建议,改进和完善管理方式。首先,根据本次调查目的选择比较成熟的慢性病相关信息调查量表,结合我市实际进行修改,按照不同慢性病防治机构工作范畴设计相应的访谈提纲。按照城市和农村分别进行抽样,城区各选取5家社区卫生服务中心,农村各选取4家乡镇卫生院开展调查,使调查更具有城乡代表性,减少抽样误差,本次调查共得到385份有效问卷。其次,通过对385份调查问卷和访谈收集到的相关数据,运用SPSS软件进行统计分析,掌握我市城乡居民不同人口分布特征人群慢性病患病现状、慢性病经济负担和医疗保障情况、健康体检和健康保健知识等方面的需求,以及我市医疗卫生机构提供慢性病防治服务情况,了解供需差距。进而以调查结果为依据,分析发现盘锦市慢性病防治管理工作存在问题的主要原因为:政府相关部门的职能缺失。政府的财政政策存在局限。慢性病防治管理形式单一,预防和治疗相互分离。基层医疗卫生机构慢性病防治水平偏低。最后,有针对性为政府部门制定慢性病防治管理政策提出相关建议:(1)加强政府公共卫生行政部门主导作用。(2)开展多种慢性病防治管理方式。(3)提高公共医疗卫生机构慢性病防治能力。
[Abstract]:In recent years, chronic diseases show a trend of high incidence year by year, and begin to be widely concerned by the public. The prevention and treatment of chronic diseases is not only a technical problem, but also a management problem, a social problem. Through the investigation and research on the management of chronic disease prevention and control, the government can carry out different prevention and control management technology according to the needs of different population in order to improve the level of public health service. The prevention and treatment of chronic diseases is of great significance not only to each individual and family, but also to the whole society to lighten the economic burden and improve the quality of life of the population. This study through the Panjin City chronic disease prevention and treatment population (high-risk and sick population) related to the current situation of in-depth investigation, using questionnaires and case interviews and other forms, To understand the demand for chronic disease prevention and treatment and the service provided by chronic disease prevention and treatment medical and health institutions among the key population, to put forward reasonable and feasible countermeasures and suggestions to improve and perfect the management methods in view of the problems existing in the current chronic disease management. First of all, according to the objective of this investigation, select a relatively mature chronic diseases related information survey scale, combined with the actual situation of our city to modify, according to different chronic disease prevention and control organizations work category design corresponding interview outline. According to urban and rural sampling, 5 community health service centers were selected in each city, 4 township health centers in rural areas were selected to carry out the investigation, so that the survey was more representative of urban and rural areas, and the sampling error was reduced. A total of 385 valid questionnaires were obtained. Secondly, through the relevant data collected from 385 questionnaires and interviews, using the SPSS software to carry on the statistical analysis, we can understand the current situation of chronic disease, the chronic disease economic burden and the medical security of the population with different distribution characteristics of urban and rural residents in our city. The demand of health examination and knowledge of health care, as well as the situation of chronic disease prevention and treatment service provided by medical and health institutions in our city, to understand the gap between supply and demand. On the basis of the investigation results, it is found that the main reasons for the problems in the management of chronic diseases in Panjin City are: the lack of functions of the relevant government departments. The government's fiscal policy has its limits. The management form of chronic disease prevention and treatment is single, prevention and treatment are separated from each other. The level of prevention and treatment of chronic diseases in primary medical and health institutions is on the low side. Last Relevant suggestions are put forward for government departments to formulate chronic disease prevention and management policies: (1) strengthening the leading role of government public health administration departments; (2) carrying out management methods of various chronic diseases prevention and treatment; (3) improving the ability of chronic disease prevention and treatment in public medical and health institutions.
【学位授予单位】：大连理工大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R197.2

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