浙江省慢性病综合监测系统构建及应用研究

胡如英; 龚巍巍; 钟节鸣; 潘劲; 王浩; 王蒙; 费方荣; 俞敏

Abstract

胡如英,龚巍巍,钟节鸣,潘劲,王浩,王蒙,费方荣,俞敏.浙江省慢性病综合监测系统构建及应用研究[J].Chinese journal of Epidemiology,2022,43(9):1485-1490

浙江省慢性病综合监测系统构建及应用研究

Construction and application of comprehensive system of chronic diseases surveillance in Zhejiang province

Received:January 18, 2022

DOI：10.3760/cma.j.cn112338-20220118-00046

KeyWord: 慢性病综合监测系统关键技术构建应用

English Key Word: Comprehensive system of chronic diseases surveillance Key technique Construction Application

FundProject:

Author Name	Affiliation	E-mail
Hu Ruying	Department of Chronic and Non-communicable Disease Prevention and Control, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou 310051, China
Gong Weiwei	Department of Chronic and Non-communicable Disease Prevention and Control, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou 310051, China
Zhong Jieming	Department of Chronic and Non-communicable Disease Prevention and Control, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou 310051, China
Pan Jin	Department of Chronic and Non-communicable Disease Prevention and Control, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou 310051, China
Wang Hao	Department of Chronic and Non-communicable Disease Prevention and Control, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou 310051, China
Wang Meng	Department of Science Research & Information Management, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou 310051, China
Fei Fangrong	General Office, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou 310051, China
Yu Min	Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou 310051, China	myu@cdc.zj.cn

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Abstract:

构建符合WHO推荐的非传染性疾病综合监测系统，研制关键技术并推广应用，获得主要健康指标以及慢性病流行状况和变化趋势，为慢性病防控和科学研究提供支撑。通过因子分析、K-means聚类分层以及多组合整群随机抽样，设计并建立了具有省级代表性的30个样本监测地区；在参考WHO非传染性疾病监测框架以及美国行为危险因素抽样和调查问卷基础上，结合我国实际需求，构建了涵盖发病和死亡等结局、危险因素暴露和社区慢性病管控3方面内容的慢性病综合监测系统；形成了监测数据收集、管理、分析和反馈的“5+12+1”全过程质量控制体系；研发了集生命登记、慢性病病例报告与社区主要慢性病管理等功能于一体的省-市-县三级监测信息管理平台和信息技术建设标准。应用上述关键技术，获得了全省高质量的监测数据，产出主要健康指标，开展慢性病科学研究，阐述主要慢性病及其危险因素的流行现状和变化趋势，助推政府民生改革实事项目，助力“健康浙江”建设。监测成功经验和关键技术已推广应用于全国及部分省市慢性病监测系统建设。

English Abstract:

To construct a non-communicable disease system recommended by WHO,develop the key techniques and promote their applications,obtain the main health indicators and understand the prevalence of chronic diseases,and provide support for the prevention,control and research of chronic diseases.Based on factor analysis,K-means clustering and multi-cluster random sampling,30 typical sampling areas at provincial level were designed and constructed;By referring to WHO's Non-communicable Disease Surveillance Framework and the American behavioral risk factor sampling and questionnaire and combined with China's actual needs,a comprehensive surveillance system for chronic diseases,covering morbidity and mortality,risk factor exposure and community management and control of chronic diseases,was established,a"5+12+1"quality control system for surveillance data collection,management,analysis and feedback was formed and a three-level surveillance information management platform and information technology construction standards in the province were established,resulting the integration of life registration,chronic disease case reporting and community chronic disease management.Using these key techniques,we have obtained high-quality surveillance data of the whole province,produced the main health indicators,carried out research of chronic diseases,and analyze the prevalence and changing trend of the main chronic diseases and related risk factors to boost the government's practical projects for the reform of the people's livelihood and facilitate the construction of"Healthy Zhejiang".The successful experiences and key techniques have been applied in the construction of chronic disease surveillance system in some provinces in China.

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