慢性病的社区干预：芬兰北卡项目的经验与启示

摘要

Chronic Diseases have been the major public health problem since 1990 in China.This paper aims to explore the main results of the comprehensive sort of the North Carolina Project in Finland including the effects , key initiatives , intervention practices and successful experiences , and discusses the implications of Fanland experi-ence-based for the Chinese chronic disease intervention .The North Carolina Project shows that community-based in-terventions form an effective strategy for the prevention and control of chronic diseases .In order to respond effectively to the chronic disease challenges , the Chinese government should not only use community-based intervention strate-gies, but also implement a “comprehensive health policy”, creating a good and social atmosphere for the chronic dis-ease intervention .%自20世纪90年代以来，慢性病已经成为中国的主要公共卫生问题。本文全面梳理了芬兰北卡项目的主要成效、关键举措和成功经验，并在此基础上讨论了芬兰经验对中国慢性病干预的启示。北卡项目表明，社区干预是慢性病预防和控制的有效路径。中国政府要想有效应对慢性病的挑战，总体上应该采取社区干预的思路，同时还需实施“将健康融入所有政策”，为慢性病的社区干预创造良好的社会氛围。