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目的 了解中国健康管理相关机构的一般状况;经营状况以及发展中存在的问题和需求,为制定促进健康管理在中国发展的政策和措施提供依据.方法 采用流行病学横断而研究的方法.首先,通过网络搜索引擎、全国企业事业单位数据库及工商行政部门的注册登记数据,摘录全国范围内所有健康管理相关机构,建立数据库.然后,使用自行设计的调查问卷,采用方便样本对部分机构进行问卷调查.最后,对问卷中部分重点关注的问题进行电话核实.结果 本次调查共收集到全国范围内健康管理相关机构5744家,收集内容包括机构地理位置、入行时间、经济类型等.针对机构业务内容、经营情况等情况,对585家机构进行了问卷调查.从2000年之后,全国健康管理机构的数量以平均每年新增52%的速度增长.自报提供健康管理相关服务的机构多以体检、健康咨询、健康管理、健康科技、健康服务等命名.服务内容包括健康信息搜集、体格检查、健康风险评估等.有79%的机构2006年达到盈利或收支平衡.人力资源匮乏、社会认识不足和自主性缺乏是机构面临的主要问题.政策指导、信息平台和相关立法是机构最希望得到的支持.结论 健康管理相关机构在我国起步较晚,但发展迅速.全国健康管理相关服务机构数量庞大,形式多样化,对健康管理认识较为普及,但仍存在着服务内容、质最参差不齐,专业人员匮乏等问题.

Objective To investigate the current status, performance,challenges and demands of the health management service-related institutions in China so as to provide evidence for effective policy-making. Methods A cross-sectional study design was used in this report. The health management service-related institutions were identified based on web site searching and government business registration records. Web or mail-based questionnaire was used for data collection. Telephone interview was conducted to confirm the validity and reliability of the data. Results Of 5744 health management service-related institutions in China,585 were investigated for type of organization, personnel profile, business strategy and investment. Since 2000, the number of health management service-related institutions in China had kept increasing in an average rate of 52%. The services included physical check, health education, and disease intervention,etc. Conclusions In China,health management is still at its early stage although an increasing trend could be found and a large number of related- institutions have emerged. However, health management system in China still faces the challenge of poor professional services and insufficient healthcare providers.