| Objective This study was undertaken to know the prevalence status of Chronic Diseases about adult residents in Qin Yunpu district.To find the main Chronic Diseases and analyse if the prevention resources can meet the requirements.Finally to provide scientific disease control measures.Methods The stratified cluster sampling was used to collect Data.According to the population capacity ratio method to choose three neighbourhood streets randomly and choose one community in each neighbourhood streets by simple random sampling. We used the family as unit to investigate 2641 people who are at least 18 years old and birthday is close to.The Community health service centers and stations surveyed using the census method.Data was entried by Epi Data software and analysed by the way of the description, chi square test with SPSS17.0.Results We investigated 18 and older community residents were 2641 people, men and women sex ratio was 96.21:100.After ariations standardized,chronic disease prevalence rate was 24.43%,the top 3 was: hypertension(19.57%), diabetes(3.94%), heart disease(1.24%).Diabetes prevalence of female was higher than male(chi-square = 8.463, P < 0.05).70-79 age group, the death of a spouse, primary culture degree and employment or unemployment, the whole health care system at one’s own expenses of adult were the highest prevalence of chronic diseases, hypertension, and diabetes(P < 0.001).26 community health service agencies in turn was: social group(42.31%), private property(34.62%), the government held(23.08%).The average building covers an area of all community health service centers and stations was 576.38 m2.The rental business houses accounted for 80.77%, the purchase business houses was 11.54% and the government offers business houses accounted for 7.70%.Annual gross income of all community health service centers and stations was 60.0775 million yuan and the average annual income was 2.3107 million yuan.Fiscal appropriation for institutions was 12.03% of the total annual gross income.There were 276 Staff,the education backgrounds were in turn: technical secondary schools were 41.67%, junior colleges were 35.87%,colleges were 19.93%, 2.54% of high schools and graduate students were 0.36%.Titles were in turn: primary(48.91%), intermediate(33.70%), no title(9.06%), adopt advanced(4.35%),and the level(1.81%). Professionals were in turn: nursing(48.54%), clinical accounted(35.77%), Chinese medicine, combined Chinese and western medicine(8.39%), midwives(2.55%), agents(2.19%), preventive medicine, inspection, accounting, computer are accounted for 1.09%.According to the standardized prevalence of budget,the standardize management rate of hypertension and diabetes were 21.02% and 41.36% respectively.According to the existing manpower, the average medical staff to manage 234.27 cases of high blood pressure and diabetes.The patients of high blood pressure with documented need 3787.04 days and diabetes by inputting need 762.85 days.The 2 kinds of chronic diseases patients follow-up time need 2634.10 days.Conclusion(1)It was found that the adult residents’ prevalence rates of hypertension and diabetes in Qin Yunpu district were lower than the other areas. It should be focus of that the comprehensive prevention and control of hypertension and diabetes in Qin Yunpu district.(2)Obviously,there should establish high blood pressure and diabetes health management strategy, high-risk groups and high-risk behavior intervention strategy.We shoud pay attention to the high age group, the widowed and married people, primary school the following cultural degree, unemployed people and all out-of-pocket medical people.(3)According to the standardized prevalence of budget,the standardize management rate of hypertension and diabetes were lower.According to the existing manpower, hypertension and diabetes managements were a lot of work and management grants were low.It was far away from satisfying the management of main chronic diseases by the existing health resources are.(4)The results demonstrated that the grassroots public health institutions of government were few and there were lack of fiscal expenditure.The human resources quantity of grassroots public health institutions were insufficiency, the quality was not high and professional structure was unreasonable.There were relatively insufficient resources of comprehensive prevention and control of chronic diseases.We suggest increasing financial input,local financial subsidies and increase public funds for health service standards.It is necessary to increase the level of health personnel at the grass-roots,to enhance the professional quality of the grass-roots health and to establish reasonable training mechanism and the title of a technical post promotion mechanism. It is great significance of focus on adjusting the structure of grassroots health team of professional,increasing the introduction of public health technology and management,setting up a corresponding chronic disease management operation mechanism and assessment mechanism and improving the ratio of management coverage. |
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