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    2020年关于加强中国公共卫生防护体系建设的问题与对策研究

    摘要

    新冠肺炎是近百年以来人类遭遇的最为严重的公共卫生危机,对全球公共卫生、社会和经济造成了破坏性影响。本报告从充分认识织牢国家公共卫生防护网的重大意义出发,系统总结了我国公共卫生体系的发展及其对国民健康改善的贡献,深入分析了当前我国公共卫生体系面临的公共卫生体系发展滞后、疾病预防控制机构功能定位尚需优化、疫情监测预警和应急反应能力有待加强、医防服务体系融合及公共卫生体系内激励约束机制有待完善等主要问题与短板,进而以问题为导向,提出建立健全“国家基本公共卫生制度”、贯彻落实健康融入所有政策、明确各级公共卫生机构功能定位、提高公共卫生服务覆盖范围和水平、加强基层卫生组织能力建设、强化公共卫生体系建设保障机制等六大织牢国家公共卫生防护网的总体目标和改革完善疾病预防控制体系、加强监测预警和应急反应能力、健全重大疫情救治体系、完善公共卫生法律法规、发挥科技在重大疫情防控中的支撑作用等五大当前织牢国家公共卫生防护网的主要任务,为推进健康中国建设,切实维护国民健康夯实根基。

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    Abstract

    The outbreak of COVID-19 was the most serious public health crisis in nearly a century,with devastating effects on global public health,society and the economy. Based on the fully understand the significance of strengthening the safety net of national public health,this paper summarizes the development of China’s public health system and its contribution to the national health improvement,and deeply analyses the main problems existing in our national public health system,including the lagging development of the public health system,unclear function orientation of the disease prevention and control institutions,imperfection of the epidemic monitoring and early warning and emergency response capabilities,lacking integration of the public health system and the medical service system,and the imperfection of the incentive and restraint mechanism within the public health system. And then problem oriented,this paper puts forward six overall goals for knitting up national public health system,involving the establishment and improvement of the “national basic public health system”,the implementation of “health into all policies”,the definition of the function of public health institutions at all levels,the improvement of the coverage and level of public health services,the improvement of the capacity of community-level health services and the strengthening of the guarantee mechanism for the construction of public health system,as well as five main tasks at hand,containing the reforming and improving the disease prevention and control system,strengthening the capacity for monitoring,early warning and emergency response,improving the system for treating major epidemics,improving public health laws and regulations,and giving full play to the supporting role of science and technology in preventing and controlling major epidemics,in order to lay the foundation for building a healthy China and effectively safeguard national health.

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    作者简介
    饶克勤:饶克勤,教授、全国政协委员、政协科教卫体委员会委员、中国卫生经济学会会长、第二十五届中华医学会副会长,清华大学、北京大学特聘教授,研究生导师,主要研究方向为生物统计流行病学、卫生经济学、卫生信息学、公共卫生管理和卫生政策研究。
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