上海市静安区宝山路街道社区卫生诊断报告(1)
摘 要 目的：分析社區卫生相关资源，为制定疾病控制和健康促进策略提供依据。方法：收集2016年1月—2018年12月宝山路街道居民的健康资料。人口学资料来源于静安区公安分局宝山路派出所；人口变动情况、死亡指标、疾病状况、医疗服务及卫生人才资源情况等来源于静安区疾病预防控制中心和宝山路街道社区卫生服务中心。结果：①2016—2018年宝山路街道人口呈持续负增长，但60岁以上老年人口数量不断攀升，截至2018年12月31日，户籍60岁以上老年人口为30 497人。②循环系统疾病，肿瘤，呼吸系统疾病，内分泌、营养和代谢疾病连续3年均位列宝山路街道疾病死亡原因前4位。③2016—2018年宝山路街道孕产妇死亡率均为0.0‰，婴儿死亡率与全市总体水平相当。④截至2018年12月31日，宝山路街道传染病病例数为234例，3年来首次成为宝山路街道居民前10位疾病死亡原因之一。⑤截至2018年12月31日，宝山路街道社区卫生服务中心总诊疗人次数和门诊人次数分别为337 694、335 590人次，同比上年度分别增长了3.4%和3.6%；每万人口全科医生数为2.5人，每万人口公共卫生医生数为0.4人。⑥户籍人口人户分离比例3年来基本维持在50.0%左右，来沪人员占实际总人口比例3年来基本为30.0%左右。结论：宝山路街道是深度老龄化社区，慢性非传染性疾病是影响居民健康最主要的危险因素。应建立预防、治疗、健康管理三位一体的慢性病综合防治服务体系和老年健康服务体系，并与分级诊疗制度、社区卫生服务综合改革等政策进行有机结合，提升居民的健康水平。
关键词 慢性非传染性疾病；社区卫生诊断；老龄化
中图分类号：R197.1 文献标志码：A 文章编号：1006-1533(2019)16-0018-04
Community health diagnostic report of Baoshanlu Neighborhood of Jingan District， Shanghai
ZHAO Kaidong1， JI Xiaoying1， TANG Hongxia2
(1. Health Management Department of Baoshanlu Community Health Service Center of Jingan District， Shanghai 200071， China； 2. Baoshanlu Community Health Service Center of Jingan District， Shanghai 200071， China； 3. Preventive and Health Care Department of Beizhan Community Health Service Center of Jingan District， Shanghai 200071， China)
ABSTRACT Objective： To analyze community health related resources for providing basis to formulate disease control and health promotion strategies. Methods： The health data of residents in Baoshanlu Community from January 2016 to December 2018 were collected. The demographic data came from Baoshanlu Police Station of Public Security Bureau of Jingan District； demographic changes， death indicators， disease status， medical services and health personnel resources were derived from the Jingan District Center for Disease Control and Prevention and the Baoshanlu Community Health Service Center. Results：①From 2016 to 2018， the population of Baoshanlu Community continued to grow negatively， but the number of elderly people over 60 years old continued to rise and as of December 31， 2018， the population of elderly people over 60 years old with household registration was 30 497. ②Circulatory system diseases， tumors， respiratory system diseases， endocrine， nutritional and metabolic diseases ranked among the top four causes of death of Baoshanlu Community for three consecutive years. ③From 2016 to 2018， the maternal mortality rate in Baoshanlu Community was 0.0‰ and the infant mortality rate was comparable to the overall level of the city. ④As of December 31， 2018， there were 234 cases of infectious diseases in Baoshanlu Community， and for the first time in three years， it became one of the top 10 causes of disease deaths among residents of Baoshanlu Community.⑤As of December 31， 2018， the total number of consultants and outpatients in Baoshanlu Community Health Service Center was 337 694 and 335 590， respectively， which increased by 3.4% and 3.6% respectively compared with the previous year； the number of general practitioners per 10 000 population was 2.5， and the number of public health doctors per 10 000 population was 0.4. ⑥In the past three years， the proportion of household separation of registered population basically maintained at about 50.0%， and the proportion of people coming to Shanghai accounted for about 30.0% of the total population in the past three years. Conclusion： Baoshanlu Community is a deeply aging community， and chronic non-communicable diseases are the most important risk factors affecting residents’ health. It is necessary to establish a three-in-one service system for prevention， treatment and health management of chronic diseases and health services for the elderly， and to organically integrate it with policies such as graded diagnosis and treatment system and comprehensive reform of community health services， so as to improve the health level of residents., http://www.100md.com(赵开栋 季晓颖 汤红霞)
关键词 慢性非传染性疾病；社区卫生诊断；老龄化
中图分类号：R197.1 文献标志码：A 文章编号：1006-1533(2019)16-0018-04
Community health diagnostic report of Baoshanlu Neighborhood of Jingan District， Shanghai
ZHAO Kaidong1， JI Xiaoying1， TANG Hongxia2
(1. Health Management Department of Baoshanlu Community Health Service Center of Jingan District， Shanghai 200071， China； 2. Baoshanlu Community Health Service Center of Jingan District， Shanghai 200071， China； 3. Preventive and Health Care Department of Beizhan Community Health Service Center of Jingan District， Shanghai 200071， China)
ABSTRACT Objective： To analyze community health related resources for providing basis to formulate disease control and health promotion strategies. Methods： The health data of residents in Baoshanlu Community from January 2016 to December 2018 were collected. The demographic data came from Baoshanlu Police Station of Public Security Bureau of Jingan District； demographic changes， death indicators， disease status， medical services and health personnel resources were derived from the Jingan District Center for Disease Control and Prevention and the Baoshanlu Community Health Service Center. Results：①From 2016 to 2018， the population of Baoshanlu Community continued to grow negatively， but the number of elderly people over 60 years old continued to rise and as of December 31， 2018， the population of elderly people over 60 years old with household registration was 30 497. ②Circulatory system diseases， tumors， respiratory system diseases， endocrine， nutritional and metabolic diseases ranked among the top four causes of death of Baoshanlu Community for three consecutive years. ③From 2016 to 2018， the maternal mortality rate in Baoshanlu Community was 0.0‰ and the infant mortality rate was comparable to the overall level of the city. ④As of December 31， 2018， there were 234 cases of infectious diseases in Baoshanlu Community， and for the first time in three years， it became one of the top 10 causes of disease deaths among residents of Baoshanlu Community.⑤As of December 31， 2018， the total number of consultants and outpatients in Baoshanlu Community Health Service Center was 337 694 and 335 590， respectively， which increased by 3.4% and 3.6% respectively compared with the previous year； the number of general practitioners per 10 000 population was 2.5， and the number of public health doctors per 10 000 population was 0.4. ⑥In the past three years， the proportion of household separation of registered population basically maintained at about 50.0%， and the proportion of people coming to Shanghai accounted for about 30.0% of the total population in the past three years. Conclusion： Baoshanlu Community is a deeply aging community， and chronic non-communicable diseases are the most important risk factors affecting residents’ health. It is necessary to establish a three-in-one service system for prevention， treatment and health management of chronic diseases and health services for the elderly， and to organically integrate it with policies such as graded diagnosis and treatment system and comprehensive reform of community health services， so as to improve the health level of residents., http://www.100md.com(赵开栋 季晓颖 汤红霞)