| Objectives Have a grasp of the current situation of the prevention and control of chronic diseases in Hefei CDC and community health service institutions, find out the knowledge that the staffs of the prevention and control of chronic diseases have acquired in the prevention and control of chronic diseases and probe into the main problem exsiting in the prevention and control of chronic diseases currently to seek solutions.Methods Take the CDC in Hefei and community health service institutions as research scene and conduct a current investigation on the current situation of the prevention and control of chronic diseases in Hefei CDC and community health service institutions. The CDC refers to eight CDCs involved in Hefei city, district and county while the community health service institutions refers to one hundred and fifty health service institutions which are chosen from eighty percent of each community health service institution in seven administrative districts. The self-made questionaire will be made to investigate the human resources and financial situation of the prevention and control of chronic diseases, the current work of the prevention and control of chronic diseases, the personnel training and the knowledge they have acquired in the prevention and control of chronic diseases.Meanwhile, Through interview outline the qualitative interviews have been conducted to the superintendents who are in charge of the prevention and control of chronic diseases in eight CDCs of Hefei , in order to know the current situation and existing problems of the prevention and control of chronic diseases there and provide the relevant solution.Results Firstly, as far as the CDCs we have investigated are concerned, the eight CDCs have made a set of rules to focus their work on chronic diseases prevention and control, 87.5% of which the chronic diseases department or office has been founded in. The eight CDCs are staffed with full-time working personnels, but the number of them for each center is small.There are 2.8 staffs working on chronic diseases prevention and control averagely in each center. In the 19 staffs we have interviewed, all of them have college degrees or above and major in preventive medicine. 78.9% of them hold a junior titles or below, while 63.2% have taken part in some city-level or county-level trainings about chronic diseases. The percentage of training demand is 89.5%. Only 21.1% of our staffs are satisfied with the training. In 2009, the funds for chronic disease has rised, as compared to 2008. however, the scale of funds for illness out of total professional work is still low(less than 10%).87.5% of these CDCs are monitoring chronic diseases, mainly concerning about high blood pressure, diabetes mellitus and malignant tumor. Only 37.5% of these CDCs have set up a network monitoring the illness. All of these centers have health files typed in paper and three centers will analyse them. Electronic health files have been founded in three CDCs.However, only 1 CDC has set the electronic database.Secondly, as far as the community health service institution is concerned, among the 150 institutions we have investigated , documents are established to instruct staffs to improve the chronic diseases prevention and control work in 84.6% of them, but 17.3% have set a chronic disease department. 94.0% of these centers are taken charge of by the general chiefs while only 72.0% of these centers have chronic disease full-time staffs who account for 35.3% in the technicians. We have researched on 567 people who are working on chronic diseases, learn that they most have junior or college degree, whose major in clinical or nursing.78.6% of these people hold junior titles or below and have not worked on it for a considerable number of years. The staffs in the disease prevetion and control work have two-year working experience. 80.6% have anticipated the chronic disease training, but its level is limited in county and city. Only 13.6% of staffs are feeling good on the training. The staffs made more correct answers in tests about high blood pressure and diabetes mellitus than who tests about malignant tumor and cardiovascular disease apparently. People who have worked for over 4 years or have been trained professionally scored higher in the test than people who have not. The difference is significant in statistic(p<0.05). 25.3% of these institutions didn't have funds of the prevention and controlling of chronic illness in 2008 and 40.7% of them had an amount of money less than 20000 yuan. There are insufficient infrastructual facilities among the 150 instituions except for sphygmomanometer. Above 60% of them are registering and managing the patients who suffer from high blood pressure, diabetes mellitus, malignant tumor, cerebral apoplexy and coronary heart disease. But the number of these institutions which work on the last three kinds is much less than the instituions which care about the first two kinds. 80.7% are monitoring the illness, mostly by recording health. 94.7% have set up health files typed in paper, but only 66.0% of them have analysed it. 50% of the institutions have founded the archives foundational information system, at the same time, the system is biult with the help of superior departmen and not used ever since.Thirdly, Regular interviews: The superintendents who are in charge of the prevention and control of chronic diseases in eight CDCs of Hefei indicate the policies haven't been implemented and the effect hasn't been evaluated although the relevant policies of the prevention and control of chronic diseases have been made. The main problems exsiting in the prevention and control of chronic diseases cover the lacking of the special funds and full-time of the prevention and control of chronic diseases and inefficient in the prevention and control of chronic diseases. The future work will be focused on clarifying the epidemic trend towards chronic diseases, building the sound monitoring system, improving in the rate of the building and standardization of health files and strengthening health education.Conclusions: the prevention and control of chronic diseases in CDC of Hefei and community health service instituions has improved a lot in organization construction and personnel building than before. However, the equalization demand of national public health is far in reach and there is a long way to go when compared with the national average level and some areas. Therefore, the work of the prevention and control of chronic diseases will be strengthened and support will be provided in many aspects such as policy, funds and personnel. |
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