| 引用本文：张朝阳.关于实行“三位一体”县域慢病防控策略的思考[J].中国卫生政策研究,2012,5(9):45-47 |
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| 关于实行“三位一体”县域慢病防控策略的思考 |
| 投稿时间：2012-07-12 修订日期：2012-09-10 PDF全文浏览 HTML全文浏览 |
| 张朝阳1 |
| 卫生部项目资金监管服务中心 |
| 摘要:当前，我国慢病防治工作面临严峻挑战。为有效遏制慢病高发态势，保护和增进人民群众健康，本文分析了农村地区慢病防控管理方面存在的主要问题，提出了“三位一体”的县域慢病防控策略的基本思路，即分别实现“县、乡、村”三级医疗卫生机构之间、 “防、医、管”之间、“体系、体制、机制”之间的三位一体。实行“三位一体”的县域慢病防控策略，首先，实现“县、乡、村”三级医疗卫生机构各负其责、分工合作的慢病防控新模式；其次，要实现慢病预防、诊治和管理的有机结合；最后，要加强县域医疗卫生机构能力建设、慢病管理体制建设和完善县域慢病防控运行机制，全面提高医疗卫生服务体系整体功能。 |
| 关键词:慢性非传染性疾病 防控策略 县域 农村卫生 |
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| Reflections on implementing the “three in one” strategy on Non communicable diseases’ prevention and control within county territory |
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| Abstract:Currently, the prevention and control of non communicable diseases (NCDs) is facing severe challenges in China. The article analyzes the main problems of NCDs prevention management and control in rural areas, and proposes that implementing “three in one” strategy on NCDs prevention and control is the most effective and only way. The article elaborates the idea of “three in one” strategy on NCDs prevention and control within a county territory, namely integrate the medical institutions at county, township, and village level; integrate prevention, medicine and administration; integrating system, structure and mechanism. To implement the “three in one” strategy, the first step is to strengthen health service planning, optimize the service structures, build a comprehensive NCDs prevention and control network, so as to develop a new model of NCDs prevention and control. The second step is to achieve an organic integration of NCDs prevention, diagnosis, treatment and management. The third step is to strengthen the capacity building medical and health institutions, administrative system establishment and to improve operating mechanism on NCDs prevention and control within a county territory, so as to comprehensively improve the overall function of the county health service system. |
| Key words:Non communicable diseases Prevention and control strategies County territory Rural health |
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