Status and control policy of main chronic disease in community health management base in China

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BAO Yong(School of Public Health, Shanghai Jiaotong University, Shanghai 200025, China)
SUN Wei(School of Public Health, Shanghai Jiaotong University, Shanghai 200025, China)
Journal Title:
Chinese Journal of Health Management
Volume 06, Issue 05, 2012
Key Word:
Hypertension;Diabetes mellitus;Community

Abstract: Objective To analysis the current conditions of the main chronic disease,satisfaction,reactive and trust,then to make the control policy in community health management base in China.Method Using the questionnaire by oneself,which the contents include prevalence,understand rate,management rate,behavior correct rate,control rate,medicine obey and satisfaction,reactive and trust of 2009 the chronic disease in 2009.Results The total investigate people was 1 189 456.The hypertension prevalence is 8.01%,the diabetes prevalence is 4.41%.To compare with Shanghai and Jilin in 6 aspects,the prevalence,understand rate,management rate,control rate,medicine obey rate is higher in Shanghai.But behavior correct rate is lower in Jilin.Survey of hypertension prevalence rate was decreased,awareness,management,rates,rates of behavior modification,medication compliance rates and control rates of growth from 2009 to 2010.Satisfaction,responsiveness and trust indicators investigated a total of 2268 people,the process of service satisfaction to 93.43%,93.78% overall satisfaction; to have the privacy of reactivity to 94.41% of the basic amenities and clean comfortable response of the 90.45% ; of treatment services for the 92.59%confidence,the confidence of the cost for the 93.98% of the overall trust in institutions is 92.76%.Conclusions The government must take main principle in chronic disease control.We must enhance base construct of community health management and increase management level of chronic disease.We must enhance practitioner's culture ang increase knowledge of chronic disease management.

  • [1]陈君石,黄建始.健康管理师.北京:中国协和医科大学出版社,2007:10-30.
  • [2]李立明.流行病学.4版.北京:人民卫生出版社,2000:237.
  • [3]刘力生,龚兰生.中国高血压防治指南.高血压杂志,2000,8:94.
  • [4]顾东风,吴锡桂.中老年人高血压患病率、知晓率、治疗和控制状况.中华预防医学杂志,2003,37:84.
  • [5]王增武,武阳丰,赵连成,等.中国中年人群高血压患病率及知晓率、治疗率、控制率的演变趋势.中华流行病学杂志,2004,25:407-411.
  • [6]叶金朝,马志华.社区慢性病规范化管理的实践探讨.中华现代医学与临床,2006,5:74-75.
  • [7]叶金朝,马志华.社区慢性病控制的方法与流程.健康潮,2006,1:19.
  • [8]叶金朝,马志华.社区慢性病管理操作指导探讨.中国社区医师,2006,22:46-47.
  • [9]任伟,张素华.重庆市3717例人群糖尿病及相关疾病的调查.重庆医学,2005,1:7.
  • [10]鲍勇.社区预防是社区卫生服务重要基石.中国全科医学,2006,9:75.
  • [11]鲍勇.社区卫生服务流程化管理.上海:上海科技出版社,2007:58-79.
  • [12]The 1994 working paper of the WHO/ WONCA:making medical practice and medical education more relevant to people's needs:the contribution of the family doctors.geneva:WHO,1994:1-48.
  • [13]Whynes DK,Baines DL.Primary care physicians'attitude to health care reform in England.Health Policy,2002,60:111-132.
  • [14]Eichner M.Demand for medical care:what people pay does matter.Am Econ Rev,1988,88:117-121.
  • [15]Rutten F,van Bussehbach J.How to define a basic package of health services for a tax funded or social insurance based health care system?.Eur J Health Econ,2001,2:45-46.
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