目的 了解安徽省2011~2014年慢病示范区进展情况,为慢病示范区长效机制建设提供依据。方法 编制安徽省慢病示范区2011~2014年进展情况调查问卷,收集保障措施、监测、健康教育与健康促进、全民健康生活方式行动、高危人群发现和干预、患者管理方面内容,进行动态分析。结果 90%以上的示范区每年至少召开一次领导小组工作会议;参与多部门合作的部门数最多为33个示范区,最少为6个示范区;经费投入逐年减少;所有慢病示范区均成立了独立的慢病科。截至2014年,开展死因监测、肿瘤登记、心脑血管事件报告的比例分别为100%(36/36)、91.7%(33/36)和55.6%(20/36)。每年在电视、广播、报刊、网站播放或设置慢病宣传节目的示范区分别占85%、36%、52%、76%以上。近60%的示范区健康自助监测点每年零增加。2014年50%示范区开展了癌症早诊早治工作。未开展儿童龋齿充填和窝沟封闭的示范区覆盖率分别达到三分之二和五分之二。一年内完成活动的自我管理小组达到10个的示范区,占90%以上。结论 慢病示范区建设一定程度上推动了全省慢病防控工作。

Objective To understand the work of demonstration areas for comprehensive prevention and control of chronic diseases in Anhui province, provide a science basis for the construction of long-term mechanism. Methods The survey questionnaire "Development of demonstration areas for comprehensive prevention and control of chronic diseases during 2011-2014 in Anhui province" was used to collect information about safeguard, surveillance, health education and promotion, health lifestyle, discovery and intervention of population with high-risk, management of patients. Results More than 90% of the demonstration area at least convened a meeting of the leading group. The number of departments involved in multi-sectoral cooperation was up to 33, at least 6. Money investment decreased year by year. All of the demonstration areas had set up an independent chronic disease department. Up to 2014, the coverage ratio of death surveillance, tumor registry, cardiovascular and cerebrovascular events reported were 100% (36/36), 91.7% (33/36) and 55.6% (20/36), respectively. The demonstration area which played or set up propaganda program regarding prevention and control of chronic diseases each year in the television, radio, on newspaper and website accounted for more than 36%, 52%, 76%, and 85%,respectively.Nearly 60% of the demonstration area increased zero healthy self monitoring point annually. About 50% of the demonstration areas carried out project of early diagnosis and treatment of cancer in 2014. The coverage rates of dental caries filling and pit and fissure sealant were 2/3 and 2/5 respectively. More than 90% of the demonstration areas had at least 10 self management teams completing activities annually. Conclusion The establishment of demonstration areas for comprehensive prevention and control of chronic diseases has promoted the work of provincial chronic disease control and prevention to some extent. Construction of demonstration areas should focus on fund investment, strengthening people's healthy lifestyle, and discovery and intervention of population with high-risk work, so as to continue the sustainable development of demonstration areas for comprehensive prevention and control of chronic diseases.