近年来世界卫生组织不断呼吁各国重视健康的社会决定因素,为实施“将健康融入所有政策”策略提供组织和技术保障。北京市作为首都,各项主要健康指标已达到或接近发达国家水平。北京市推动落实“将健康融入所有政策”,从本质上看就是以习近平新时代中国特色社会主义思想为引领,构建“将健康融入所有政策”的政策法律体系,推动落实北京城市战略定位,做到服务保障能力同城市战略定位相适应、人口资源环境同城市战略定位相协调。从国际上看,在成功实施“将健康融入所有政策”方面有构建法律保障体系、组建跨部门治理机制、稳定的财政保障机制、卫生与健康部门发挥主导作用四大经验。基于国内外经验研究及北京市市情,建议北京市建立“将健康融入所有政策”工作机制,明确“将健康融入所有政策”实施范围等,重点聚焦健康融入所有政策的组织领导协调机制、法律法规保障、健康影响评估评价制度、公众参与机制等关键问题。
<<In recent years,WHO has called on all countries to attach importance to the social determinants of health and to provide organizational and technical support for the implementation of “Integrate health in all policies” strategies. As a capital city,Beijing’s main health indicators have reached or come close to the level of developed countries. To promote the implementation of “Integrate health in all policies” in Beijing is to take Xi Jinping’s new era of socialism with Chinese characteristics as the guide,to build a healthy and integrated policy and legal system,to promote the implementation of Beijing’s urban strategic positioning,to ensure that the capacity of service and guarantee is in line with the strategic positioning of the city,and to coordinate the environment of population and resources with the strategic positioning of the city. From the international point of view,the successful implementation of “Integrate health in all policies” has the experience of constructing legal guarantee system,establishing cross-departmental governance mechanism,stable financial guarantee mechanism and leading role of health and health departments. Based on the domestic and international experience and the municipal situation in Beijing,we suggest that Beijing establish the “Integrate health in all policies” working mechanism,define the scope of “Integrate health in all policies” implementation,etc.,focusing on the key issues such as organization and leadership coordination mechanism,law and regulation guarantee,health impact assessment and evaluation system,and public participation mechanism.
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