| 引用本文：姜莹莹, 齐力, 毛凡, 董文兰, 杨艺, 施燕, 董建群.国家慢性病综合防控示范区多部门合作现状研究[J].中国卫生政策研究,2019,12(11):59-66 |
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| 国家慢性病综合防控示范区多部门合作现状研究 |
| 投稿时间：2018-09-17 修订日期：2019-11-11 PDF全文浏览 HTML全文浏览 |
| 姜莹莹1, 齐力2, 毛凡1, 董文兰1, 杨艺3, 施燕4, 董建群1 |
1. 中国疾病预防控制中心慢性非传染性疾病预防控制中心 北京 100050;
2. 北京市疾病预防控制中心 北京 100013;
3. 宁夏回族自治区疾病预防控制中心 宁夏银川 750004;
4. 上海市疾病预防控制中心 上海 200336 |
| 摘要:目的：了解并评价慢性病综合防控示范区政府多部门合作现状。方法：采用关键人物深入访谈和专题小组访谈方法，对参与上海市普陀区和宁夏利通区示范区建设和管理的工作人员进行访谈。根据扎根理论和主题框架法，采用NVivo10软件对访谈资料进行分析。结果：我国目前慢性病综合防控多部门合作工作包括领导与组织设置、部门职责、合作意识、信息共享以及激励、问责与督导五个范畴。就慢性病综合防控工作，卫生健康、文化体育、旅游、教育、民政、发展改革、财政、商务、环境保护等部门已经建立起合作。两区均建立了独立的议事协调机制，但部门间的沟通协调缺乏主动性，合作形式单一，仅少数部门建立了沟通协调机制。两地均有部门履职情况的考核机制，但缺少相应的奖惩。结论：在国家慢性病综合防控示范区建设和管理的过程中，多部门合作工作机制已经建立起来，但合作的持久性、机制的有效性仍有待完善。 |
| 关键词:慢性病 国家慢性病综合防控示范区 多部门合作 定性研究 |
| 基金项目:中国—世卫组织2014—2015双年度合作项目（2014/423406-0） |
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| Research on the status of multi-sector cooperation in national chronic disease comprehensive control and prevention demonstration areas |
| JIANG Ying-ying1, QI Li2, MAO Fan1, DONG Wen-lan1, YANG Yi3, SHI Yan4, DONG Jian-qun1 |
1. National Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China;
2. Beijing Center for Disease Control and Prevention, Beijing 100013, China;
3. Ningxia Center for Disease Control and Prevention, Yinchuan Ningxia 750004, China;
4. Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, China |
| Abstract:Objective:To understand and evaluate the current situation of multi-sectoral cooperation in the national demonstration areas for comprehensive control and prevention of chronic diseases. Methods:In-depth interviews and focus group discussions were conducted among employees who participated in the construction and management of Putuo District in Shanghai and Litong District in Ningxia, the two areas being the national demonstration areas for comprehensive control and prevention of chronic diseases. According to the grounded theory and the analytical thematic framework method, the interview data were analyzed by NVivo10 software. Results:The current multi-sectoral cooperation on prevention and control of chronic diseases includes leadership and organizational setup, departmental responsibilities, cooperation awareness, information sharing, incentives, accountability and supervision. With regard to the comprehensive prevention and control of chronic diseases, cooperation has been established in health department, culture and sports, tourism, education, civil administration institution, development and reform department, financial department, commerce, and environmental protection department. Independent deliberation and coordination mechanisms have been established in both districts. However, lack of initiative was detected in regard with communication and coordination among departments, and there was only a single form of cooperation. Only a few departments have established communication and coordination mechanisms. Both districts have established assessment mechanisms for the performance of their departments, but there was still a lack of corresponding rewards for best performers and remarks and punishments for those who did not fulfill their duties and responsibilities. Conclusions:The construction of demonstration areas is an important way to promote multi-sectoral cooperation in the prevention and treatment of chronic diseases in China; however, the mechanism for maintaining the sustainability and effectiveness of cooperation still needs to be improved. |
| Key words:Chronic diseases The national chronic disease comprehensive control and prevention demonstration areas Multi-sector cooperation Qualitative research |
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