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| 引用本文： | 王坤, 毛阿燕, 孟月莉, 杨玉洁, 董佩, 邱五七. 我国公共卫生体系建设发展历程、现状、问题与策略[J]. 中国公共卫生, 2019, 35(7): 801-805. DOI: 10.11847/zgggws1123311 |
| 作者姓名： | 王坤 毛阿燕 孟月莉 杨玉洁 董佩 邱五七 |
| 作者单位： | 1.中国医学科学院医学信息研究所公共卫生战略情报研究室，北京 100020 |
| 基金项目： | 北京市卫生和计划生育委员会委托课题《加强首都公共卫生体系建设研究》 |
| 摘 要： | 新中国建国近70年，我国公共卫生事业取得了显著的成绩，但也面临很多问题与挑战，现阶段我国公共卫生体系发展滞后于经济和其他社会事业发展，本文对我国公共卫生体系发展历程、现状与问题进行分析和研究，我国公共卫生体系存在的主要问题包括：公共卫生体系发展滞后、缺乏顶层设计，重治轻防的思想观念阻碍公共卫生体系建设，财政投入总量、结构及方式不适应公共卫生体系发展需要，公共卫生人才队伍不稳定、发展乏力，公共卫生信息化整体滞后、投入及人才缺口较大，法制建设不完善、行政赋权缺失。在此基础上提出建立完善新时代公共卫生服务体系的策略建议，构建医防结合的卫生服务体系，优化财政投入模式、建立多渠道筹资机制，加强公共卫生体系人才队伍建设，完善公共卫生信息化建设，完善公共卫生法律体系等。 |
| 关 键 词： | 公共卫生 公共卫生体系 发展历程 新时代 策略建议 |
| 收稿时间： | 2019-03-08 |
From measuring to improving public health practice |
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| Kun WANG, A-yan MAO, Yue-li MENG, . Development history, current situation, problems and strategies of public health system construction in China[J]. Chinese Journal of Public Health, 2019, 35(7): 801-805. DOI: 10.11847/zgggws1123311 | |
| Authors: | Kun WANG A-yan MAO Yue-li MENG |
| Affiliation: | 1.Department of Public Health Strategy Informatics, Institute of Medical Information, Chinese Academy of Medical Sciences, Beijing 100020, China |
| Abstract: | In the past 70 years since the founding of the People's Republic of China, China has made remarkable achievements but also faces many problems and challenges in public health. At present, the development of public health service system in China lags behind the that of economy and other social undertakings. In the study, we analyzed and studied the development process and problems of public health system in China. The main problems in China's public health system include: the lagged development of the public health system, the lack of top-level design, the widening gap between the medical system and the public health system, the inadequacy of the total amount/structure and mode of financial investment in the development of the public health system, the instability and weak development of public health personnel, and lagging-behind public health informatization, obvious shortages in investment and talent resources, imperfect legal system construction, and the lack of administrative empowerment. To those problems mentioned above, the study puts forward some suggestions for improving the public health service system in the new era, such as building a health service system combining medicine with prevention, optimizing the mode of financial investment, establishing a multi-channel financing mechanism, strengthening the construction of talents in public health system, improving the construction of public health informatization, and improving the public health legal system. |
| Keywords: | public health public health service system development history new era strategy suggestion |
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