| 新型冠状病毒肺炎疫情对疾病预防控制体系的影响及思考 |
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| 引用本文： | 李程跃,施培武,沈群红,张朝阳,陈政,蒲川,徐凌忠,胡志,马安宁,龚朝晖,徐天强,王磐石,汪华,郝超,高翔,李力,周庆誉,郝模.新型冠状病毒肺炎疫情对疾病预防控制体系的影响及思考[J].上海预防医学,2020,32(4):303-308. |
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| 作者姓名： | 李程跃 施培武 沈群红 张朝阳 陈政 蒲川 徐凌忠 胡志 马安宁 龚朝晖 徐天强 王磐石 汪华 郝超 高翔 李力 周庆誉 郝模 |
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| 作者单位： | 复旦大学卫生发展战略研究中心, 上海 200032;健康相关社会风险预警协同创新中心, 上海 200032;浙江省医学科学院, 浙江 杭州 310012;健康相关社会风险预警协同创新中心, 上海 200032;清华大学公共管理学院,北京 100084;健康相关社会风险预警协同创新中心, 上海 200032;国家卫生健康委员会项目评价中心, 北京 100044;健康相关社会风险预警协同创新中心, 上海 200032;中华预防医学会公共卫生管理分会基层公共卫生管理学组, 上海 201800;健康相关社会风险预警协同创新中心, 上海 200032;重庆医科大学公共卫生与管理学院, 重庆 400016;健康相关社会风险预警协同创新中心, 上海 200032;山东大学公共卫生学院, 山东 济南 250012;健康相关社会风险预警协同创新中心, 上海 200032;安徽医科大学, 安徽 合肥 230032;健康相关社会风险预警协同创新中心, 上海 200032;济宁医学院, 山东 济宁 272067;健康相关社会风险预警协同创新中心, 上海 200032;致公党中央医药卫生专业委员会, 北京100011;健康相关社会风险预警协同创新中心, 上海 200032;上海卫生健康委员会监督所, 上海 200031;健康相关社会风险预警协同创新中心, 上海 200032;上海市卫生健康委员会, 上海 200031;健康相关社会风险预警协同创新中心, 上海 200032;江苏省预防医学会,江苏 南京 210009;健康相关社会风险预警协同创新中心, 上海 200032;常州市疾病预防控制中心, 江苏 常州 213003;健康相关社会风险预警协同创新中心, 上海 200032 |
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| 基金项目： | 上海市加强公共卫生体系建设三年行动计划;国家自然科学基金 |
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| 摘 要： | 新冠肺炎疫情的发生暴露了我国疾病预防控制体系建设中还存在的一些问题。习近平总书记明确指出要“补短板、堵漏洞、强弱项”“改革完善疾病预防控制体系”。本文分析了我国疾病预防控制体系在政策、法规、管理、队伍和运行机制层面的主要问题和原因,从“法制、体制、机制”三个层面探讨了将“预防为主”纳入法制范畴,将健康中国纳入各部门行动计划,及时修订完善法律法规,调整建设适应新时代发展需要的疾病预防控制管理机构,打造高素质的专业队伍,加强区域健康信息互通,常态化联防联控的协调机制,完善适宜的投入机制,健全设备更新与储备制度等建议。
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| 关 键 词： | 新冠肺炎疫情 疾病预防控制体系 问题 策略 |
Impacts and strategies for the disease control and prevention system in the COVID-19 outbreak |
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| LI Cheng-yue,SHI Pei-wu,SHEN Qun-hong,ZHANG Zhao-yang,CHEN Zheng,PU Chuan,XU Ling-zhong,HU Zhi,MA An-ning,GONG Zhao-hui,XU Tian-qiang,WANG Pan-shi,WANG Hua,HAO Chao,GAO Xiang,LI Li,ZHOU Qing-yu,HAO Mo.Impacts and strategies for the disease control and prevention system in the COVID-19 outbreak[J].Shanghai Journal of Preventive Medicine,2020,32(4):303-308. |
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| Authors: | LI Cheng-yue SHI Pei-wu SHEN Qun-hong ZHANG Zhao-yang CHEN Zheng PU Chuan XU Ling-zhong HU Zhi MA An-ning GONG Zhao-hui XU Tian-qiang WANG Pan-shi WANG Hua HAO Chao GAO Xiang LI Li ZHOU Qing-yu HAO Mo |
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| Institution: | (Research Institute of Health Development Strategies,Fudan University,Shanghai 200032,China;Zhejiang Academy of Medical Sciences,Hangzhou,Zhejiang 310012,China;School of Public Policy and Management,Tsinghua University,Beijing 100084,China;Project Supervision Center of National Health Commission of the People′s Republic of China,Beijing 100044,China;Department of Grassroots Public Health Management Group,Public Health Management Branch of Chinese Preventive Medicine Association,Shanghai 201800,China;School of Public Health and Management,Chongqing Medical University,Chongqing 400016,China;School of Public Health,Shandong University,Jinan,Shandong 250012,China;Anhui Medical University,Hefei,Anhui 230032,China;Jining Medical University,Jining,Shandong 272067,China;Committee on Medicine and Health of Central Committee of China ZHI GONG PARTY,Beijing 100011,China;Institute of Inspection and Supervision,Shanghai Municipal Health Commission,Shanghai 200031,China;Shanghai Municipal Health Commission,Shanghai 200031,China;Jiangsu Preventive Medicine Association,Nanjing,Jiangsu 210009,China;Changzhou Center for Disease Control and Prevention,Changzhou,Jiangsu 213003,China;Collaborative Innovation Center of Social Risks Governance in Health,Fudan University,Shanghai 200032,China) |
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| Abstract: | The outbreak of COVID-19 has exposed many shortcomings in disease control and prevention system(DCPS)of China.Resolving the problems and strengthening the DCPS became the top priority on China′s public policy agenda.This paper reveals the problems of the DCPS system regarding policy-making,regulations,operation mechanism and staff,and proposes several strategies from three aspects of legal construction,management system,and operation mechanism,including:“Prevention first”should be incorporated into the national legal system,all the departments should be engaged in“Healthy China 2030”initiative,laws and regulations should be amended,new disease prevention and control management institutions should be set up,a high-quality professional team should be retained,the regional health information exchange channels should be strengthened,the coordinated mechanism for disease prevention and control should be normalized,the long-term investment mechanism should be established,and the equipment renewal and reserve system should be improved. |
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| Keywords: | the COVID-19 outbreak disease control and prevention system problems strategies |
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