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【正文】 Community Health 1 Public Health Practice and Improvement Framework – Practices and Essential Services – 公共衛(wèi)生實(shí)踐 ,改善框架 實(shí)踐和關(guān)鍵服務(wù) Community Health 2 Public Health Infrastructure Goal 公共衛(wèi)生基礎(chǔ)設(shè)施目標(biāo) Every health department better prepared 每一個(gè)衛(wèi)生部門都應(yīng)該準(zhǔn)備好 Every munity better protected 每一個(gè)社區(qū)都受很好的保護(hù) What does it take to be fully prepared? 如何才能做好充分的準(zhǔn)備? 銷售管理軟件 Community Health 3 Step One 第一步 1. Develop a Community Health Assessment Plan 制定社區(qū)衛(wèi)生評估計(jì)劃 2.Gather Most Important Data 收集重要數(shù)據(jù) 3.Interpret the Data 對數(shù)據(jù)進(jìn)行分析 4.Report 撰寫報(bào)告 ?brief, 簡潔 ?to the point, 重點(diǎn)突出 ?clear data 數(shù)據(jù)明晰 ?specific remendations 明確的建議 Community Health 4 Assessment Essential Services 評價(jià)關(guān)鍵服務(wù) 1. Monitor health status to identify munity health problems 監(jiān)測衛(wèi)生現(xiàn)狀 ,確定社區(qū)衛(wèi)生問題 2. Diagnose and investigate health problems and health hazards in the munity 診斷和調(diào)查社區(qū)的衛(wèi)生問題和健康危害 3. Evaluate effectiveness, accessibility, and quality of personal and populationbased health services 評價(jià)有效性 ,可獲得性 ,以及個(gè)人和人群健康服務(wù)的質(zhì)量 Community Health 5 Causes of Premature Death in the . 1990 1990年美國過早死亡的原因 Cause原因 % of Total Deaths總死亡 Tobacco煙草 38% Diet/activity patterns飲食 /運(yùn)動(dòng)模式 28% Alcohol酒精 10% Microbial agents微生物 8% Toxic agents毒物 6% Firearms 槍支 4% Sexual behavior 性行為 2% Motor vehicles 交通事故 2% Illicit drugs 非法毒品 1% Source: McGinnis amp。 Foege, JAMA 1993 What would be the leading causes in China? 在中國首要原因是什么 ? Community Health 6 What is Most Important to Monitor? Some possible criteria… 監(jiān)測的重點(diǎn)是什么?一些可能的標(biāo)準(zhǔn) Contribute most to years of productive life lost? 是否導(dǎo)致生產(chǎn)年的喪失? Affects other regions and countries? 是否影響其他的區(qū)域和國家? Could be improved greatly with good data 是否可以通過好的數(shù)據(jù)顯著改善健康狀況? Comm
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