李明珠, 郭祖鹏, 陈雪峰. 适应人口变化的公共卫生服务管理策略探讨[J]. 上海预防医学, 2012, 24(3): 116-120.
引用本文: 李明珠, 郭祖鹏, 陈雪峰. 适应人口变化的公共卫生服务管理策略探讨[J]. 上海预防医学, 2012, 24(3): 116-120.
LI Ming-zhu, GUO Zu-peng, CHEN Xue-feng. Exploration on management strategies for public health services to adapt to the population changes[J]. Shanghai Journal of Preventive Medicine, 2012, 24(3): 116-120.
Citation: LI Ming-zhu, GUO Zu-peng, CHEN Xue-feng. Exploration on management strategies for public health services to adapt to the population changes[J]. Shanghai Journal of Preventive Medicine, 2012, 24(3): 116-120.

适应人口变化的公共卫生服务管理策略探讨

Exploration on management strategies for public health services to adapt to the population changes

  • 摘要: 目的 根据上海市宝山区人口变化特点提出公共卫生工作重点和管理策略。方法 分析宝山区2000年第五次和2010年第六次人口普查资料,总结人口变化特点。结果 10年间,居住在宝山区的本区户籍、外区县户籍和外省市户籍人口都在增加。本区户籍人口中60岁及以上人口的比例已达22.12%,且生活不能自理老人占3.59%。外区县户籍人口增幅高达112.95%,主要职业构成、家庭住户卫生设施等情况与本区户籍人口相近,且集中在大场、顾村、张庙、高境、淞南等部分街镇。本区的外省市户籍人口增幅最大,为137.61%,占全区总人口的40.22%。全区有一半的街镇中外省市户籍人口数明显超过本区户籍人口数,主要集中在大场、杨行、顾村等街镇,饮用自来水,拥有独立厨房、卫生间和洗浴设施的比例远远小于本区户籍、外区县户籍人口。外省市户籍人口以青壮年为主,户籍以安徽和江苏省为主,职业以生产运输设备操作人员和商业服务业为主。结论 本区户籍人口的公共卫生问题主要是慢性疾病,公共卫生服务管理应围绕慢性病防治为主。外区县户籍人口公共卫生管理方法可参照本区户籍人口。外省市户籍人口的公共卫生问题主要是传染病,同时要关注职业病,公共卫生服务管理应围绕防控传染病、职业病为主。

     

    Abstract: Objective To characterize the priorities in work and management strategy of public health based on the characteristics of population changes in Baoshan District.Methods Characteristics of population changes were summarized by analyzing the archives of the 5th and 6th census in 2000 and 2010 of Baoshan District.Results The past decade had witnessed an increase in the population of Baoshan District, including increased residents in Baoshan District, from other districts or other provinces. The elders aged 60 and over constituted 22.12% of the whole population in Baoshan District, 3.59% of them being unable to take care of themselves.The rate of population from other districts in Shanghai living in Baoshan Dsitrict had increased by 112.95%, who were mainly in Dachang, Gucun, Zhangmiao, Gaojing, and Songnan, with their occupation structure and household sanitation facilities similar to those of people originally living in Baoshan District.The increase of residents from other provinces ranked top,namely by 137.61%,accounting for 40.22% of the total population.Local people were outnumbered by people from outside of Shanghai in more than half of the towns affiliated to Baoshan District,mainly in Dachang,Yanghang,and Gucun.However,the rate of outside people who drank tap water,owned independent kitchen,toilet and shower facilities were far lower than that of people from Baoshan District and other districts alike.The majority of the outside people were young,mainly from Anhui and Jiangsu Province,mostly engaged in operating production and transportation equipment or providing commercial services.Conclusion The major public health problem of the local people was chronic disease, so public health services management should focus on the prevention and control of chronic diseases. And the public health services management of the people from other districts in Shanghai could refer to that of local people.In contrast,the main public health problem of people from outside of Shanghai was infectious disease.Additionally,due attention is supposed to be paid to the occupation disease.With this,the public health services management should focus on the prevention and control of infectious disease and occupation disease.

     

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