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国家基本公共卫生服务项目回顾及对“十三五”期间政 策完善的思考
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| 投稿时间： 2015-05-07 最后修改时间： 2015-06-10 摘要点击次数: 2676 全文下载次数: 1654 |
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| 引用本文：胡同宇.国家基本公共卫生服务项目回顾及对“十三五”期间政 策完善的思考[J].中国卫生政策研究,2015,8(7):43-48 |
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| 胡同宇 |
| 国家卫生和计划生育委员会基层卫生司 北京 100044 |
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| | 摘要:国家基本公共卫生服务项目实施已经5年多,该项工作的成效、问题及如何深入推进受到各方关注。本文基于文献、文件及报告资料,对项目背景和进展进行了梳理,分析了项目实施过程中的重点问题,并对项目制度建设提出相应建议。项目进展和成效主要表现为,初步形成了制度安排、服务量稳步增加、健康和社会效益初步显现。但是,因项目涉及多部门、多领域及各类医疗卫生机构,需要处理好各种关系。“十三五”期间,建议进一步健全国家基本公共卫生服务有效供给机制,重点做好资金筹集和管理、服务内容决策、服务提供体系、服务模式、绩效考核和评价几方面工作。 | |
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关键词:基本公共卫生服务项目 “十三五”规划 均等化
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| A review on how to better implement National Essential Public Health Services Program in China |
| HU Tong-yu |
| Department of Primary Health,National Health and Family Planning Commission of P.R.China, Beijing 100044, China |
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| | Abstract:Chinese government launched National Essential Public Health Services Program since 5 years ago; a program of which the progress, achievement, challenges and a knowhow for a better implementation are concerned by the related policy makers, implementers and researchers. Based on the years of experience in this area, combining literatures and reports relevant to this program, this paper summed up its background and progress, analyzed problems and challenges as well as put forward the policy recommendations for a better implementation of the work. The results were mainly described in three different ways as follows: firstly, the public health service delivery system was formed; secondly, services types and target population were annually increased; and thirdly, there were remarkable health and social benefits. However, for such a big program that is related to multiple government departments and health institutions, contradictions may emerge during implementation. Therefore, it is important to deal with its different relationships. Recommendations for further implementation of the work in the coming “Thirteenth-Five-Year” plan are enlightened to deepen a perfect essential public health service delivery mechanism from the financing and management, service package scoping, service delivery system and approach, and performance evaluation facets. | |
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