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刘万奇, 杨金侠, 汪志豪, 谢翩翩. 中国基本公共卫生服务实施经验、问题与挑战[J]. 中国公共卫生, 2020, 36(12): 1677-1681. DOI: 10.11847/zgggws1127929
引用本文: 刘万奇, 杨金侠, 汪志豪, 谢翩翩. 中国基本公共卫生服务实施经验、问题与挑战[J]. 中国公共卫生, 2020, 36(12): 1677-1681. DOI: 10.11847/zgggws1127929
LIU Wan-qi, YANG Jin-xia, WANG Zhi-hao, . Experience, problems and challenges in implementation of basic public health services in China: a brief discussion[J]. Chinese Journal of Public Health, 2020, 36(12): 1677-1681. DOI: 10.11847/zgggws1127929
Citation: LIU Wan-qi, YANG Jin-xia, WANG Zhi-hao, . Experience, problems and challenges in implementation of basic public health services in China: a brief discussion[J]. Chinese Journal of Public Health, 2020, 36(12): 1677-1681. DOI: 10.11847/zgggws1127929

中国基本公共卫生服务实施经验、问题与挑战

Experience, problems and challenges in implementation of basic public health services in China: a brief discussion

  • 摘要: 全民健康覆盖(UHC)是全球卫生工作的重点方向,公共卫生服务是全民健康覆盖的重要内容和重要实现路径。中国基本公共卫生服务与全民健康覆盖的实践方向高度吻合,其提供的全人群、全生命周期的服务,项目筹资对公平与可负担的考虑,项目实施对卫生人力资源能力和水平的促进以及对公共卫生服务体系带来的整合效应等均成为了中国UHC的有益经验。同时,中国基本公共卫生服务也面临着服务质量有待提高、系统整合不充分、称职的专业技术人员不足、卫生之外的部门作用发挥有限、地区之间发展不均衡等方面带来的挑战。为此,未来应更好地应对上述挑战,尤其要关注服务项目优化和服务项目质量提升,并重视对健康结果的考核评价。

     

    Abstract: Universal health coverage (UHC) is the key development direction of global health work and public health service is the important content and path of universal health coverage. China′s basic public health services are highly consistent with the practice direction of universal health coverage. The whole population and life cycle services, the consideration of equity and affordability in project financing, the promotion of project implementation on the capacity and level of health human resources, and the integration effect on the public health service system are successful experiences for comprehensive health coverage in China. At the same time, China′s basic public health services are also facing challenges in terms of service quality to be improved, inadequate system integration, insufficient qualified professional and technical personnel, limited role of departments other than health institutions, and unbalanced development among regions. Therefore, we should better deal with the those challenges in the future, especially pay attention to the optimization of service projects and the improvement of service project quality, and to the assessment and evaluation on health outcomes.

     

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