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随着改革开放的不断深入、社会经济的持续发展、人民生活水平的不断提升,我国慢性病发病和死亡人数持续上升[1],位居居民死亡首位,成为疾病和社会经济发展负担,严重威胁劳动力人口健康[2,3]。采取积极有效的慢性病综合管理模式已成为我国政府及卫生行政主管部门研究的的一个方向[4-7]。北京市怀柔区近几年来在慢性病防治方面投入大量人力物力,结合多年的工作实践,借鉴国内外慢病防治发展的经验[8-10],在管理机制方面进行了有益的尝试
With the continuous deepening of reform and opening up, sustained social and economic development, continuous improvement of people’s living standard, the incidence of chronic diseases and deaths in China continue to rise [1], ranking the first in the death of residents, becoming a burden on diseases and socio-economic development, a serious threat to the workforce Population health [2,3]. To take an active and effective integrated management of chronic diseases has become the direction of our government and health administrative departments to study [4-7]. In recent years, Huairou District in Beijing has invested a great deal of manpower and resources in the prevention and treatment of chronic diseases. Based on many years’ practice and drawing lessons from the experience of the development of chronic disease prevention and control both at home and abroad [8-10], it has made beneficial attempts in management mechanism