CAJ | 학술논문

剖析我国基本公共卫生服务均等化推进中的问题
부석아국기본공공위생복무균등화추진중적문제
The analysis on problems in the promotion of the equalization of basic public health services in China

万方数据

中国卫生资源中國衛生資源 중국위생자원
CHINESE HEALTH RESOURCES
2015年 1期 7-9,46 ,共4页

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

강립문%장봉수%려효홍%왕화%하효군%마가기%탕선건%굴위동%량홍%윤애전%증위%리평평%학모

基本公共卫生服务%均等化%问题%剖析基本公共衛生服務%均等化%問題%剖析
기본공공위생복무%균등화%문제%부석
basic public health service%equalization%problem%analysis

深入剖析了我国基本公共卫生服务均等化推进中几类关键问题以及问题之间的相互作用关系：（1）认识不清，将“基本公共卫生服务”理解为“基层公共卫生服务”，使落实基本公共卫生服务变成“基层”一家之责；将“基本公共卫生服务”代替“公共卫生服务”，忽视常规服务项目开展。（2）职能错位，公共卫生服务开展的主体——专业公共卫生机构被“边缘化”；职能缺位，项目推进缺乏全流程的职责分工。（3）协调不力，基本公共卫生服务项目推进的效率较低。（4）推进项目开展的工作经费总量不足，分配不均；公共卫生人员的数量、素质均难以满足项目的执行。因此，要有效落实基本公共卫生服务，首先需要扭转错误观念，其次需要建立协调沟通机制、明确全流程的工作内容与职责分工等。
심입부석료아국기본공공위생복무균등화추진중궤류관건문제이급문제지간적상호작용관계：（1）인식불청，장“기본공공위생복무”리해위“기층공공위생복무”，사락실기본공공위생복무변성“기층”일가지책；장“기본공공위생복무”대체“공공위생복무”，홀시상규복무항목개전。（2）직능착위，공공위생복무개전적주체——전업공공위생궤구피“변연화”；직능결위，항목추진결핍전류정적직책분공。（3）협조불력，기본공공위생복무항목추진적효솔교저。（4）추진항목개전적공작경비총량불족，분배불균；공공위생인원적수량、소질균난이만족항목적집행。인차，요유효락실기본공공위생복무，수선수요뉴전착오관념，기차수요건립협조구통궤제、명학전류정적공작내용여직책분공등。
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.