| 司向,翟屹,朱晓磊,马吉祥.2011－2017年中国省级慢性非传染性疾病预防控制政策能力变化趋势分析[J].中华流行病学杂志,2019,40(6):726-730 |
| 2011－2017年中国省级慢性非传染性疾病预防控制政策能力变化趋势分析 |
| The changing trend of capacity on policy implementation related to the prevention and control of chronic non-communicable disease at the provincial level, from 2011 to 2017 |
| 收稿日期:2019-01-16 出版日期:2019-06-17 |
| DOI：10.3760/cma.j.issn.0254-6450.2019.06.023 |
| 中文关键词: 慢性非传染性疾病 预防 控制 政策能力 |
| 英文关键词: Chronic non-communicable disease Prevention Control Policy capacity |
| 基金项目:中国疾病预防控制中心应急反应机制运行（131031001000150001） |
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| 中文摘要: |
| 目的 了解2011－2017年在国家级慢性病防控政策不断推进和完善的情况下，各省慢性病防控政策能力跟进和变化情况。方法 分别于2012年9月至2013年3月、2014年9月至2015年3月、2018年7－11月开展3次全国慢性病预防控制能力评估工作，通过网络调查，收集全国31个省（自治区、直辖市）和新疆生产建设兵团省级政策能力的相关数据。结果 进行分析的3次调查各省应答率均为100%。2011、2013和2017年，省级财政经费中配置慢性病防控专项经费的省份个数分别为27个（84.4%）、26个（81.3%）和25个（78.1%）；有领导参加当地慢性病防控相关活动的省级政府数量分别为15个（46.9%）、13个（40.6%）和19个（59.4%）；2009－2011、2011－2013和2014－2017年在省级“两会”上有以慢性病防控为主题的提案或议案的省份个数分别为14个（43.8%）、13个（40.6%）和12个（37.5%）。2011、2013和2017年，全国省级慢性病防控综合规划数量分别为6个（18.8%）、20个（62.5%）和27个（84.4%），有现行慢性病防控专病或针对慢性病危险因素控制规划的数量分别为0个、1个和3个。结论 近年来，随着国际和国家级慢性病防控政策的不断出台，我国各省份慢性病防控政策制定能力有了较大幅度的提升，但对提升慢性病防控政策认定能力方面成效甚微。如何提高各级政府对慢性病防控工作的重视程度，切实为慢性病防控工作提供财政、组织机构和制度的相关保障，是今后发展慢性病防控政策能力的重点环节。 |
| 英文摘要: |
| Objective To assess the follow-up situstion and changes of policies related to the prevention and control on chronic non-communicable diseases (NCDs), in various provinces from 2011 to 2017. Methods Three national assessment programs on the prevention and control capacity of NCDs were carried out from September 2012 to March 2013, September 2014 to March 2015, and July to November 2018 respectively. Data related to the capacity on policy implementation among the 31 provinces, autonomous regions, municipality directly under the central government and Xinjiang Production and Construction Corps, were collected through online surveys. Results The rate of data collection in all the provinces reached 100%, for all three surveys. In 2011, 2013, and 2017, the capacity for policy development special funding was distributed for prevention and control NCDs under the provincial fiscal revenue by 27 provinces (84.4%), 26 provinces (81.3%) and 25 provinces (78.1%), and the numbers of provincial governments leaders attended the local activities related to prevention and control NCDs was 15 (46.9%), 13 (40.6%) and 19(59.4%), respectively. From 2009 to 2011, 14 (43.8%) proposals related to the topics on prevention and control of NCDs, were raised at the provincial People's Congress and Political Consultative Conference, while from 2011 to 2013 and 2014 to 2017, 13 (40.6%) and 12 (37.5%) were respectively raised. In terms of capacity for policy development, numbers of provincial comprehensive plan which targeting prevention and control of NCDs reached 6 (18.8%), 20 (62.5%) and 27 (84.4%) in 2011, 2013, and 2017 respectively. In 2011, 2013 and 2017, numbers of provincial special plans that targeting on NCDs or the risk factors of NCDs prevention and control were 0, 1, and 3, respectively. Conclusions Under the continuous introduction of international and national policies related to prevention and control on NCDs, capacity for policy formulation in various provinces has been greatly improved. However, a slight progress has been made in the capacity for policy making. The increase of capacity building on policy making regarding prevention and control of NCDs, at the provincial government level, has become a key issue. |
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