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新时期我国基层公共卫生服务发展现况与展望

吕奕鹏 程帆 张晓琼 邝海东 于宏杰 王朝昕

吕奕鹏, 程帆, 张晓琼, 邝海东, 于宏杰, 王朝昕. 新时期我国基层公共卫生服务发展现况与展望[J]. 中华全科医学, 2022, 20(10): 1631-1634. doi: 10.16766/j.cnki.issn.1674-4152.002666
引用本文: 吕奕鹏, 程帆, 张晓琼, 邝海东, 于宏杰, 王朝昕. 新时期我国基层公共卫生服务发展现况与展望[J]. 中华全科医学, 2022, 20(10): 1631-1634. doi: 10.16766/j.cnki.issn.1674-4152.002666
LYU Yi-peng, CHENG Fan, ZHANG Xiao-qiong, KUANG Hai-dong, YU Hong-jie, WANG Zhao-xin. The current situation and prospect of the primary public health services in China in the new era[J]. Chinese Journal of General Practice, 2022, 20(10): 1631-1634. doi: 10.16766/j.cnki.issn.1674-4152.002666
Citation: LYU Yi-peng, CHENG Fan, ZHANG Xiao-qiong, KUANG Hai-dong, YU Hong-jie, WANG Zhao-xin. The current situation and prospect of the primary public health services in China in the new era[J]. Chinese Journal of General Practice, 2022, 20(10): 1631-1634. doi: 10.16766/j.cnki.issn.1674-4152.002666

新时期我国基层公共卫生服务发展现况与展望

doi: 10.16766/j.cnki.issn.1674-4152.002666
基金项目: 

上海市浦江人才计划项目 2020PJC081

上海市“科技创新行动计划”软科学研究项目 22692192000

上海市公共卫生优秀学科带头人计划项目 GWV-10.2-XD07

上海交通大学新进青年教师启动计划 21X010501094

详细信息
    通讯作者:

    王朝昕, E-mail: supercell002@sina.com

  • 中图分类号: R499  R19

The current situation and prospect of the primary public health services in China in the new era

  • 摘要: 随着国家经济社会发展,人群患病特征和卫生需求发生规律性改变。提升基层公共卫生服务能力,有助于改善人群健康,降低卫生费用。全国卫生与健康大会上提出新时期卫生工作要把“以基层为重点”放在首位。因此,本文聚焦基层公共卫生服务,并着重从慢性病管理、健康管理及基层卫生应急三大内容开展梳理,分别提出当前基层卫生需求存在着慢性病疾病负担增加、主动健康管理的卫生需求拓展以及疫情防控基层卫生需求提升这三大现况,对基层公共卫生管理提出了新的挑战。通过梳理当前基层医疗卫生服务现况,发现当前在慢病管理方面管理形式丰富,但存在一级预防管理滞后、信息化建设迟缓等问题。在主动健康管理方面存在发展水平有限、管理流于形式、基层人力资源紧张等问题。在卫生应急方面存在常态化疫情防控“事前”控制能力弱等问题。本文通过比较分析,针对两者主要矛盾和差距,提出要以慢病管理为核心,拓宽健康管理边界,丰富基层卫生资源,适当向公共卫生管理领域倾斜,提升工作积极性,推进信息化手段和平台建设,充分放大健康大数据效能,提升人群自我健康管理主动性,完善基层卫生应急响应政策法规和预案建设,改善应急效能的建议,以期提升新时期我国基层公共卫生服务能力,更好地服务“健康中国2030”战略目标。

     

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  • 收稿日期:  2022-08-06
  • 网络出版日期:  2022-11-30

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