2018年林芝市疾控系统慢性病防控能力调查

黄倩 白国霞 巴桑卓嘎 李宁

[摘要] 目的 了解西藏自治区林芝市各级疾病预防控制中心（疾控系统）慢性非传染性疾病预防控制（慢性病防控）能力现状，为加强全市慢性病防控能力建设、制定慢性病防控相关政策提供依据。方法 利用2018年林芝市及其辖区县疾控预防控制中心慢性病与营养重点工作进展报表的数据，用SPSS 20.0统计学软件进行描述性分析。结果 全市各级疾病预防控制中心共有专职慢性病防控人员13名，其中市级、县级疾病预防控制中心均数分别为3.00名、1.34名;全市慢性病防控工作经费占年度重大公共卫生服务项目工作经费的比例为7.01%;7个县级疾病预防控制中心均开展了慢性病监测和干预，但开展项目不全。结论 林芝市慢性病防控能力较薄弱，应增加各级疾控机构慢性病防控专职人员数量和慢性病防控工作经费，加大慢性病监测和干预力度。

[关键词] 疾控系统;慢性病;防控能力;林芝市

[中图分类号] R19 [文献标识码] A [文章编号] 1672-5654（2020）08（a）-0186-03

[Abstract] Objective To understand the current status of chronic non-communicable disease prevention and control （chronic disease prevention and control） capabilities at all levels of disease prevention and control centers （disease control system） in Linzhi City， Tibet Autonomous Region， and to provide for strengthening the citys chronic disease prevention and control capacity building and formulating related policies in accordance with. Methods Using the data from the chronic disease and nutrition key work progress report of the Centers for Disease Control and Prevention in Linzhi City and its jurisdiction in 2018， SPSS 20.0 statistical saftware was used for descriptive analysis. Results There are 13 full-time chronic disease prevention and control personnel in the disease prevention and control centers at all levels in the city， of which the average number of municipal and county disease prevention and control centers was 3.00 and 1.34 respectively; the citys chronic disease prevention and control work expenditure accounts for the annual major public health service projects proportion of funds was 7.01%; 7 county-level disease prevention and control centers had all carried out chronic disease monitoring and intervention， but the projects are incomplete. Conclusion Linzhi City's ability to prevent and control chronic diseases is relatively weak. The number of full-time personnel for chronic disease prevention and control at all levels of disease control agencies and the funding for chronic disease prevention and control should be increased， and the monitoring and intervention of chronic diseases should be increased.

[Key words] Disease control system; Chronic diseases; Prevention and control capabilities; Linzhi city

慢性非傳染性疾病又称慢性病，是指病情发展缓慢、持续时间长的疾病。当前慢性病已成为威胁我国居民生命健康的最主要公共卫生问题之一。西藏居民因慢性病死亡占全人群死因的76.27%，前5位死因顺序分别为脑血管病、呼吸系统疾病、心脏病、消化系统疾病和恶性肿瘤[1]。林芝市居民因慢性病死亡约占全人群死因的60%，全人群死因前5位分别为心脏病、脑血管疾病、意外伤害、恶性肿瘤和消化系统疾病[2]。慢性病防控人力、经费资源及开展慢性病防控项目是了解一个地区慢性病防控能力的重要因素，而疾控系统是慢性病防控工作的中坚力量，对推动相关工作有十分重要的作用[3-4]。慢性病预防控制能力评估重要性日益显著[5]。为了解林芝市各级疾病预防控制中心（以下简称疾控中心）慢性病防控能力现状，掌握慢性病防治的制约因素与需求，发现目前慢性病防控工作中的不足，以加强全市慢性病防控能力建设，并为制定慢性病防控相关政策提供依据，现对2018年林芝市疾控系统慢性病防控能力进行调查，报道如下。