摘要
目的了解我国8个城市社区慢性病管理现状及存在问题,提出社区慢性病防治相关政策建议。方法利用2011年杭州、合肥、武汉、成都、无锡、铜陵、宝鸡和石河子8个城市居民健康询问调查、机构调查及2010年中国慢性病及其危险因素监测相关数据进行分析。结果健康询问调查显示:8个城市居民自报高血压、糖尿病、高血脂患病率分别为18.7%、5.7%和0.3%,高血压和糖尿病病人的指导率分别为72.4%和66.5%;机构调查显示:高血压和糖尿病规范化管理的病人数分别占辖区人口数的4.8%和1.3%。以2010年国家慢性病监测数据中城市高血压、糖尿病和高胆固醇患病率34.7%、12.3%和4.2%进行推算,估计调查城市高血压、糖尿病和高血脂的漏诊率分别达到46.1%、53.7%和92.9%,均以18～44岁年龄组的漏诊率最高,分别达93.9%、95.2%和100.0%;估计高血压、糖尿病实际规范化管理率分别为13.8%和10.6%。结论应开展以病人为中心、以社区为基础可持续的核心慢性病综合干预,加强健康体检或筛检,提高人群疾病确诊率,重点加强职业人群慢性病防治。
Objective To investigate the status quo and problems of chronic disease management in the 8 typical cities under comprehensive community health reform.Methods Data were collected through household health survey and community health facility survey in 2011 in 8 cities including Hangzhou,Hefei,Wuhan,Chengdu,Wuxi,Tongling,Baoji,and Shihezi.The 2010 China Chronic Disease and Risk Factors Surveillance data were used for comparisons.Results Household health survey showed that self-reported prevalence of hypertension,diabetes,and hyperlipemia were 18.7%,5.7% and 0.3%,respectively;72.4% and 66.5% of the hypertensive and diabetic patients were under health guidance.Facility survey showed that the hypertensive and diabetic patients under standardized management accounted for 4.8% and 1.3% of the community residents,respectively.The 2010 China Chronic Disease and Risk Factors Surveillance data showed that the prevalence of hypertension,diabetes,and hyperlipemia were 34.7%,12.3% and 4.2%,respectively.Comparatively,it is estimated that the rates of missed diagnosis of hypertension,diabetes,and hyperlipemia of the surveyed cities were 46.1%,53.7% and 92.9%,and were all highest among age group of 18-44 years,which were 93.9%,95.2%,and 100.0%,respectively.The actual management rates of hypertension and diabetes in the 8 cities were estimated to be 13.8% and 10.6%,respectively.Conclusion Patient centered,community-based,comprehensive,and sustainable interventions on chronic diseases are needed.Health check-ups and/ or screens should be promoted,and diagnosis rate should be improved.Great attention should be paid to occupational groups who are susceptible to chronic diseases.
出处
《中国全科医学》
CAS
CSCD
北大核心
2013年第22期2621-2623,共3页
Chinese General Practice
基金
中澳卫生与艾滋病基金项目(HSS408)
关键词
城市社区
慢性病
患病率
漏诊率
规范化管理率
Urban community
Chronic disease
Prevalence of diseases
Rate of missed diagnosis
Rate of standardized management
