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目的了解甘肃省平凉市疾病预防控制机构基本公共卫生服务项目实施阶段性进展情况,为进一步规范实施该项目与探索服务技术提供科学依据。方法整理统计2010—2015年平凉市基本公共卫生服务项目实施进展监测资料,用描述统计学方法分析结果。结果 2010—2015年平凉市共建立居民健康档案1 384 630份、建档率65.01%,0~6岁儿童健康管理率75.84%,孕产妇健康随访率81.01%,预防接种儿童麻疹类疫苗接种率98.33%,传染病及突发事件报告处置率100.00%,65岁以上老年人健康体检率55.46%,高血压病人健康管理率39.94%,糖尿病病人健康管理率27.61%,重症精神病病人健康管理率85.26%,居民健康知识知晓率达82.80%;基层慢性病防控人员项目实施前315人,项目实施后增加为580人,比项目实施前增加84.13%,差异有统计学意义(χ~2=68.57,P<0.05);基层医疗单位用于慢性病健康服务的体检仪器基本齐全率项目实施前60.90%,项目实施后为77.80%;基层政府(乡政府、村委会)与乡、村医疗单位开展慢性病健康服务的业务合作,项目实施前11次,项目实施后110次,差异有统计学意义(χ~2=55.29,P<0.05)。结论平凉市在国家基本公共卫生服务项目实施中,通过居民健康建档筛查、健康问题干预、慢性病管理、传染病监测和妇女儿童健康管理等一系列健康服务,使城乡居民不良生活行为明显改善,防病知识知晓率提高,提升了本地区的慢性病防控能力,探索出了一套在基层有推广价值的“档案化管理、网格化服务、绩效化质控”的公共卫生服务项目规范实施的技术服务模式。
Objective To understand the progress of the implementation of basic public health services in the institutions for disease control and prevention in Pingliang City, Gansu Province, and to provide a scientific basis for further standardizing the implementation of this project and exploring service technologies. Methods Statistics statistics 2010 - 2015 basic public health services in Pingliang City, monitoring the progress of the implementation of the project, using descriptive statistics to analyze the results. Results A total of 1 384 630 residents’ health records were established in Pingliang City from 2010 to 2015, with a file rate of 65.01%. The health management rate of children aged 0-6 was 75.84% and the follow-up rate of maternal health was 81.01%. Vaccination rates of measles vaccination children 98.33%, infectious disease and incident report disposal rate of 100.00%, the elderly over the age of 65 health check-up rate of 55.46%, hypertensive patients 39.94% of health management, diabetes patients health management rate of 27.61%, severe mental illness health management rate of 85.26 %, Residents’ awareness of health knowledge reached 82.80%; 315 grassroots prevention and control personnel before the implementation of the project, after the implementation of the project increased to 580 people, 84.13% more than before the project implementation, the difference was statistically significant (χ ~ 2 = 68.57, P <0.05). The basic complete rate of medical equipment for primary health care services for chronic diseases was 60.90% before the implementation of the project and 77.80% after the implementation of the project. Grassroots governments (township governments and village committees) and township and village medical units conducted chronic diseases Health service business cooperation, 11 times before project implementation and 110 times after project implementation, the difference was statistically significant (χ ~ 2 = 55.29, P <0.05). Conclusion In the implementation of the national basic public health service project, Pingliang City significantly improved the unhealthy living behaviors of urban and rural residents through a series of health services such as health screening of residents, intervention of health problems, management of chronic diseases, monitoring of infectious diseases and health management of women and children , The awareness rate of disease prevention knowledge has been raised and the prevention and control of chronic diseases in the region have been raised. A set of public health services with the promotion value of “archival management, grid service and performance quality control” has been explored Project specification implementation of the technical service model.