Survey On The Ability Of Community Health Service In Lanzhou And Chronic Disease Analysis

Objective:By analyzing the present situation ability of community health service institutes in the five district of Lanzhou city, further evaluation the district of Chengguan chronic disease patients health status and related influencing factors, to improve the service ability of Lanzhou health institutions, to rational allocation of health resources, so as to provide advice for improve the construction of community health institutions and chronic disease control and prevention.Methods:Through the field investigation, collection the data of basic health service capacity status in community health service institutes were analyzed and using descriptive epidemiology methods, analyzed the chronic disease epidemic features and related factors. Results:1.Our city community health service system has been initially formed, doctor to nurse ratio was1.3:1, doctor degree is given priority to with bachelor degree or above, accounting for48.45%, the doctor’s professional title of senior to medium to primary was1:1.8:1.3, Community health service institutions have average14units equipment and18units department, financial aid accounts for29.7%of total revenue, business/enterprise spending account for57.8%of the total. Special populations by inputting rate was92.4%, every district has shortcomings and different from service level, financing channels, compensation mechanism and so on.2.The research had invested720residents in the Chengguan district of Lanzhou city, male to female ratio was1.1:1and the average age of women was elder than men, Han nation accounts for a major part of99.0%,Most of them received high education, about79.3%were middle or above, the majority of occupation were26.1%workers, the majority were91.7%in marriages, smoking rate was32.6%,drinking was34.9%, lack of physical exercise accounted for77.6%, the difference of each age group had significant in statistics(P<0.05),poor sleep quality accounted for27.1%, the difference of each age group had no significant in statistics(P>0.05).3. The top three prevalence rate of chronic disease were hypertension80.4%, diabetes27.9%, and coronary heart disease8.3%, they were increased by age, the average of pressure value was136.61±12.026/84.68±8.689,women’DPB was higher than men, the difference had significant in statistics(P<0.05).4. The analysis of influential factors of hypertension showed that BMI(OR=1.460), plant-based (OR=0.360), salt (OR=2.619), poor sleep (OR=1.229) were risk factors for hypertension. The analysis of influential factors of diabetes showed that age (OR=1.834), degree of culture (OR=1.136), sugar (OR=13.781), poor sleep (OR=1.210) were risk factors for diabetes. The analysis of influential factors of coronary heart disease showed that Age (OR=1.892), nationality (OR=5.785), salt (OR=1.201) were risk factors for coronary heart disease. Conclusion:Lanzhou city community health service institutions could meet the demand of the people’s health, but also had the corresponding problems. Residents had poor conditions of health behavior overall, the majority of chronic diseases were hypertension, diabetes, and coronary heart disease, which should be controlled and strengthened. The high risk people should accepted regular health education in order to improve people’s health consciousness. Strengthened the construction of community health institutions at the same time, improve the level of medical services, in order to provide better health guarantee for the masses.