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基于文献分析中国慢性非传染性疾病领域存在问题

Issues in prevention and control of non-communicable chronic diseases in China: a literature analysis

  • 摘要:
    目的 分析中国慢性非传染性疾病(简称“慢性病”)领域存在的主要问题,为慢性病的预防控制提供参考依据。
    方法 在中国知网数据库、万方数据库、维普中文期刊数据库收集1998年1月 — 2016年12月公开发表的关于中国慢性病领域现状和问题的相关中文文献,对中国慢性病领域存在的主要问题进行描述分析和归类总结。
    结果 最终纳入291篇中文文献,涉及慢性病领域问题共33类512个问题,归类为宏观环境、人口需要、结构、过程、结果5个问题模块,其中结构问题又分为结构 – 资源、结构 – 组织、结构 – 行政3类;5类问题中,以结构问题最多,为245个,占所有问题数的47.85 %;结构问题中,以资源问题数最多,为149个,占结构问题数的60.82 %;文献提及次数最多的问题为认知行为问题(69次),其次为人力问题(63次),再次为财力问题(47次)。
    结论 中国慢性病领域目前存在问题较多,结构不合理尤其是资源不合理为其存在的主要问题。

     

    Abstract:
    Objective To analyze main issues in the prevention and control of non-communicable chronic diseases (NCDs) in China and to provide a references for NCDs prevention and control.
    Methods We retrieved Chinese literatures on status and main problems of NCDs prevention and control in China published from January 1998 to December 2016 through China National Knowledge Infrastructure (CNKI), Wanfang Chinese Periodical Database, and the VIP Chinese Periodical Database. Descriptive and inductive analysis were adopted in the study.
    Results We included a total of 291 literatures. We classified the 512 issues of 33 themes discussed in the literatures into following 5 domains: macro environment, population need, structure, process, and outcome and then subdivided the structure domain into resource-, organization-, and administration-structure. Of all the issues discussed in the literatures, 245 (47.85%) involved structure domain and of all the structure domain related issues discussed, 149 (60.82%) referred to resource-structure. The most frequently discussed issues in the literatures were cognitive behavior (69 times), followed by manpower (63) and financial support (47).
    Conclusion There are many issues in the prevention and control of non-communicable chronic diseases in China and in published Chinese literatures, the most frequently discussed issues refer to unreasonable resource-structure.

     

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