云南省无烟医疗卫生机构创建进展

摘要

Objective We aim to provide reference to the whole province in smoke control by comparing the re-sults of two stealth investigations and evaluating the effectiveness of the smoke-free environment implementation among medi-cal and health institutions in Yunnan Province.Methods National appraisal standards designed by Chinese Ministry of Health were applied to the stealth investigations in 2011 and 2013.These stealth investigations were targeted at the health ad-ministrative department,public health institutions and medical institutions in 16 prefectures in Yunnan Province.Results The overall score was 57 in 2011,and 68.3 in 2013 (The full score is 100).In 2013,all institutions scored noticeably higher in posting and placing no-smoking logos outdoor smoking zone and indoor smoking signs compared to that in 2011.In 2013,17.7% to 39.7% of the institutions didn’t post no-smoking logos in key venues;22.9% didn’t have any tobacco control pamphlets;39.1% scored 0 in separating outdoor smoking zone.Conclusion Yunnan’s medical and health insti-tutions have been progressing in implementing smoke-free environment,and the gap of smoke control effort among the insti-tutions was narrowing.However,to achieve 100% smoke-free requires that we endeavor to implement policies and supervise smoking behaviors.%目的：比较两轮暗访结果了解云南省无烟医疗卫生系统创建情况，为推进全省医疗卫生系统全面禁烟提供参考依据。方法2011年、2013年使用国家级方案评分标准暗访全省16州市行政部门、公共卫生机构、医疗机构3类机构。结果2011年全省暗访综合评分为57分，2013年为68.3分（满分100分）。2013年各类医疗卫生机构禁烟标识设置、室外吸烟区设置、吸烟状况得分均较2011年明显增加。2013年17.7％～39.7％的机构在重点场所未设置禁烟标识，在22.9％的机构内未发现任何控烟宣传材料，39.1％的机构室外吸烟区得分为0分。结论云南省无烟医疗卫生系统创建日见成效，各类机构间的差别逐渐缩小，但距建立100％无烟环境尚有差距，还需进一步加强政策的执行和监督。