中文摘要：

以WHO慢病创新服务体系为理论框架，在对山东省八县现场调查资料及我国相关政策文件研究基础上。通过理顺“慢病防控目标导向基本医疗保健功能建设，功能建设导向基本医疗保健体系建设，体系建设导向政策制定”的思路，基于基本医疗保健的视角，从微观（患者）、中观（基本医疗保健体系）、宏观（政策）三个层面系统的分析我国慢病控制障碍，进而探索慢病高发的根源性因素，即政策层面的缺失与不合理。

英文摘要：

Guided with WHO Innovative Care System for Chronic Conditions, data from field survey in eight counties and re- lated policies and documents were studied. Based on which, the idea of ＂goals of non-communicable diseases （NCDs） prevention and control orienting the function construction of primary health care ,function construction orienting system construction of prima- ry health care, and system construction orienting policy formulating＂ was straightened out. And the obstacles to prevent and con- trol China rural non-communicable diseases were systematically analyzed from three aspects of micro- （patients） ,meso- （system construction） and maero-（poliey） view.