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Background With the bio - medical model to biological - psychological - social - environment gradual transformation of medical model, the concept of health from \merely the absence of disease or infirmity. \People's health awareness gradually from the negative to the positive, but also concerned about the health status from a single expanded to focus on health factors and because of poor health due to various losses. However, at the same time, the existing health assessment is still focused on the death or illness of information on the description. Therefore, as a basic duty of the public health sector, one of a set of health monitoring and assessment needs to be consistent with the current concept of health health assessment index system, to fully understand the impact of the crowd for key health the natural, social, behavioral and other factors and the corresponding population health status, characteristics and trends change, there is a clear community population health problems for public health policy makers to provide the basis of a healthy lifestyle for residents give guidance, to create a healthy growth to adapt a healthy environment for all purposes. Purpose 1. Construct a unified, standardized, viable community population health assessment index system. 2 index system in this trial, Chaoyang District, Chaoyang District, assess the health of populations and make recommendations. 3 Institute of Building Inspection of the index system operability. Methods In this study, three stages of combining qualitative and quantitative epidemiological research methods. The first step, through literature review and analysis of relevant government documents and interviews with experts, according to the existing population health / disease status, health factors and health outcome indicators types and characteristics, population health indicators to build a preliminary framework; Second, through consulting experts (Delphi method) within the framework of indicators for the analysis and screening to determine population health assessment index system; Third, use of the index system for population health, Chaoyang District, trial assessment, identify the The main areas of population health issues and analysis of potential factors for health promotion and intervention recommendations. Results 1 This preliminary study construct suitable for China's population health assessment system framework and draft indicators. Include: health factors, health / disease status and health health / disease consequences under three levels of 26 measurable indicators. 2 in the country's 13 provinces (city) and autonomous regions within the selection of the 27 experts two expert advice, expert average working life of 24.11 ± 6.73 years. Two experts consulted by the response rates were 96.30% and 88.89%, additional amendments proposed rates were 46.15% (12/26) and 25.00% (6/24), two feedback time was 5.38 ± 4.77 days and 6.91 5.05 days, the feedback time by t-test (t = 0.293, p gt; 0.05) was not statistically different. Two advisory coordination coefficients were 0.207 (χR2 = 182.6, p lt; 0.05) and 0.357 (χR2 = 260.7, p lt; 0.05), by chi-square test was statistically significant, and the second round than the first round , indicating that expert opinion gradually converge. 3 After two expert advice, the study of Chinese cities in the eventual establishment of population health assessment index system including an index 3, namely: health factors, health / disease status, health / disease consequences; two indicators 9, namely: environmental factors, personal behavioral factors, health resources and services, the incidence / prevalence, mortality, years of potential life lost per capita health care costs, annual illness (injury) absent days, other health indicators. Three indicators 27 are: air quality reaching more than two days, drinking water sampling qualified rate, food hygiene sampling qualified rate, household disposable income, higher education population rate, per capita housing area, smoking, drinking rates, rates of overweight and obesity, exercise rates, chronic disease awareness, basic medical insurance coverage, child immunization coverage, the government budget health costs, the incidence of viral hepatitis, tuberculosis incidence, prevalence of hypertension, diabetes rate, cancer prevalence, prevalence of mental illness, crude mortality, maternal mortality, infant mortality, under-five child mortality, injury mortality, average life expectancy, self-rated health good rate. Measurable indicators of total 30 (including 27 three indicators and three secondary indicators). 4 Use the index system established in this study for the crowd, Chaoyang District, health assessment, the following results: first, the health effects of factors, Chaoyang District, rapid population growth, high quality, structural aging; urban resources and the environment faced with shortage of resources and pollution challenges; residents smoking, alcohol consumption, lack of physical activity and other behavioral risk factors, incidence; Second, health / disease status, the district viral hepatitis, tuberculosis and other infectious diseases incidence increased slowly ; residents mortality basically stable, the main cause of death in chronic primary, chronic disease prevention and control situation is grim; residents steadily improved life expectancy, but the main cause of death obvious impact on life expectancy. Third, health / disease consequences, chronic disease and injury is caused by the loss of life of residents in Chaoyang District, the main reason. 5 This study established Chinese population health assessment index system in Chaoyang District, applications, and easy access to data easier target number is 25 (83.33%) (data readily available indicator 19, respectively: Air quality has reached more than two days, drinking water sampling qualified rate, food hygiene sampling qualified rate, household disposable income, higher education population rate, per capita housing area, basic medical insurance coverage, child immunization coverage, the government budget health spending, the incidence of viral hepatitis, tuberculosis incidence, prevalence of hypertension, crude mortality, maternal mortality, infant mortality, under-five child mortality, injury mortality, average life expectancy, years of potential life loss for the year, 63.33% of the total number of indicators. easier to obtain data indicators 6, respectively: smoking, drinking rates, rates of overweight and obesity, exercise rates, chronic disease awareness, prevalence of diabetes, the total number of indicators 20.00%). Description of the indicator system operability is good. Conclusion This study has a solid foundation of literature, good representative selection of experts, to take a variety of consultation methods to improve response rates Experts advantages. Through this study population established Chinese urban community health assessment index system operability is good. Using this system, we Chaoyang District population health assessment, comprehensive assessment, involving health factors, health / disease status and health / disease consequences for other aspects of the data set cold, Chaoyang District, public health and other health-related departments to provide a valuable information, but also for Chinese urban community population health assessment provides a better indicator of the feasibility of system.
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