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剖析我国基本公共卫生服务均等化推进中的问题

姜立文 尹爱田 曾伟 李萍萍 郝模 苌凤水 励晓红 汪华 何晓军 马家奇 汤善建 屈卫东 梁鸿

中国卫生资源Issue(1):7-9,46,4.
中国卫生资源Issue(1):7-9,46,4.DOI:10.13688/j.cnki.chr.2015.14172

剖析我国基本公共卫生服务均等化推进中的问题

The analysis on problems in the promotion of the equalization of basic public health services in China

姜立文 1尹爱田 2曾伟 1李萍萍 1郝模 1苌凤水 1励晓红 1汪华 3何晓军 4马家奇 5汤善建 6屈卫东 7梁鸿8

作者信息

  • 1. 复旦大学卫生发展战略研究中心,上海 200032
  • 2. 山东大学卫生管理与政策研究中心,山东济南 250012
  • 3. 江苏省卫生和计划生育委员会,江苏南京 210009
  • 4. 江西省卫生和计划生育委员会疾病控制处,江西南昌 330029
  • 5. 中国疾病预防控制中心,北京 102256
  • 6. 复旦大学数学科学学院,上海 200433
  • 7. 复旦大学公共卫生学院,上海 200032
  • 8. 复旦大学社会发展与公共政策学院,上海 200433
  • 折叠

摘要

Abstract

A deep analysis on the interaction relationship between the key issues during the promotion of the equalization of basic public health services in our country was conducted:(1)Misunderstanding:the conception“basic public health services”was misinterpreted as“grass-root public health services”,resulting in that the grass-root health institutions became the sole agency responsible for the implementation of the services.“Public health service” was replaced by“basic public health service” and the routine services were neglected to be carried out. (2)Responsibility dislocation:professional public health agencies responsible for providing public health service were marginalized. Responsibility vacancy:the promotion of the basic public health services was lack of clear-defined responsibilities during the implementation process. (3)Poor coordination:the promotion of basic public health services was of low efficiency. (4)The funding was insufficient and the distribution was uneven. The quantity and the quality of the public health staffs can hardly meet the needs of the implementation. Therefore,It is suggested to reverse misconceptions, establish coordination mechanism,and define the service contents and the responsibilities among agencies in the process to effectively implement basic public health services.

关键词

基本公共卫生服务/均等化/问题/剖析

Key words

basic public health service/equalization/problem/analysis

分类

医药卫生

引用本文复制引用

姜立文,尹爱田,曾伟,李萍萍,郝模,苌凤水,励晓红,汪华,何晓军,马家奇,汤善建,屈卫东,梁鸿..剖析我国基本公共卫生服务均等化推进中的问题[J].中国卫生资源,2015,(1):7-9,46,4.

基金项目

健康领域社会风险预测治理协同创新中心项目资助;教育部创新团队项目(IRT_13R11);国家社科基金重点项目(13AZD081);国家自然科学基金项目(71373004、71303058);教育部哲学社会科学发展报告资助项目(11JBGP039);教育部高等学校博士学科点专项科研基金资助项目(20120071110055);教育部人文社会科学研究青年基金项目(12YJCZH100);国家卫生和计划生育委员会科研基金资助项目;复旦大学“985工程”三期整体推进社会科学研究资助项目 ()

中国卫生资源

OA北大核心CSTPCD

1007-953X

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