关于促进基本公共卫生服务逐步均等化的意见

国家基本公共卫生服务项目作为2009年医改的主要任务之一，实施已近十年，基层服务水平和能力得以提升，健康效益逐渐显现，逐步实现服务“均等化”，区域、城乡、人群间差距逐渐缩小。随着社会经济发展，基本公共卫生服务在实施过程中面临新机遇与新挑战。适时总结评估，对于完善项目实施有重要意义。本文通过系统梳理数据、研究文献及政策报告等，分析国家基本公共卫生服务项目实施进展与成效，尝试探讨实施的主要问题，并提出相应的政策建议。

Implementation progress and effect of National Essential Public Health Services Program in China

As one of the main tasks of the health care system reform in 2009, the National Essential Public Health Services Program has been implemented for nearly ten years. The level of services and capabilities in grassroots clinics have been improved, and the health benefits have gradually emerged. Regional disparities, urban-rural disparities, and gaps between populations are gradually narrowing. With the development of China′s economy and society, National Essential Public Health Services Program is facing new opportunities and challenges in its implementation process. As a study under the National Essential Public Health Services Program Adjustment and Evaluation Project of the China National Health Development Research Center, based on data and literatures as well as reports relevant to the program, this paper analyzed the progress and achievements of the National Essential Public Health Services Program, explored important problems and challenges in the implementation and put forward the corresponding recommendations for a better implementation of the program.