从妇女保健看京沪健康战略的优先与落实

目的分析京沪两地健康战略发布的优先程度及落实现状,比较其差异,并论证其重要意义。方法系统收集国家和京沪两地健康优先战略及公开发布的妇保相关所有政策文献,量化分析健康发展战略的"优先程度""规范引导程度""职责明确程度""任务落实程度"以及"考核评估程度",探讨两地健康战略的优先与落实的效果。结果两地健康战略的优先程度均为65.0%、规范引导程度分别为59.2%(上海)和64.6%(北京),而职责明确程度、任务落实程度和考核评估程度等均为0.0%。结论适宜公共卫生体系应将健康作为优先发展战略,且形成可操作的政策并落实到位。目前京沪两地健康战略的落实现状总体较低,距离理想水平差距较大。

Priority and implementation of Beijing and Shanghai health strategies: A study from the perspective of maternal health care

Objective To analyze the priority degree and implementation status of health strategies released in Beijing and Shanghai, to compare the differences and to demonstrate their significance. Methods Systematic collection was carried out of the health priority strategies and all policy documents released related to maternal health care work of the nation, Beijing and Shanghai. Then quantitative analysis was made of the "priority", "normative guidance", "clear responsibilities", "task implementation" and "evaluation" of the health development strategies, and the priority and implementation of the health strategies of the two cities were explored. Results The degree of priority of health strategies in Beijing and Shanghai were both 65.0%, and the degrees of normative guidance were 59.2% for Shanghai and 64.6% for Beijing while the degrees of clear responsibilities, task implementation and evaluation were all 0.0%. Conclusions Appropriate public health systems require strong support for health priority strategies, and feasible policies need to be formulated and implemented. The implementation status of the health strategies in Beijing and Shanghai is generally low, and there is still a large gap between the reality and the ideal level.