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强韧卫生体系框架构建研究
王辰, 张诗文, 荆丽梅, 王静蓉, 赵艺皓, 张晓玄, 张小雨, 陆雨晗, 王超, 邵瑞太
中国工程科学 ›› 2024, Vol. 26 ›› Issue (6) : 89-97.
PDF(662 KB)
PDF(662 KB)
强韧卫生体系框架构建研究
Framework for Building Resilient Health Systems
全球健康挑战趋于复杂、突发公共卫生事件频发，现有卫生体系脆弱性凸显，难以应对不断变化的人群健康需求和公共卫生挑战，研究并构建强韧卫生体系框架成为亟需。本文在梳理现有国际卫生体系框架、辨识卫生体系发展形势的基础上，从国情实际出发，提出了以“健康大同”为核心理念的强韧卫生体系框架；阐释了强韧卫生体系的概念定义，论述了相应框架的基本构成、核心要素、建设举措。强韧卫生体系框架融合了国际通用框架的优势，强调多部门协作和健康促进，将为人群健康保障、公共卫生治理提供理论参考。框架中注重公共卫生与健康照护系统的深度整合、医防协同和外部的跨部门协作，倡导“将健康融入所有政策”的治理理念，能够提升卫生服务的整体效能，增强卫生体系应对突发公共卫生事件的能力。
The growing complexity of global health challenges and the increasing frequency of public health emergencies have highlighted the fragility of current health systems, which often struggle to address evolving population health needs and public health challenges. This study aims to construct a resilient health system framework tailored to China's context, drawing on a comprehensive review of existing international frameworks and an analysis of health system development trends. Anchored in the core concept of universal health, this framework defines the principles and foundational elements of a resilient health system, outlining key components and actionable strategies for its development. Integrating the strengths of internationally recognized frameworks, the proposed framework emphasizes multi-sectoral collaboration and health promotion, offering theoretical guidance for enhancing health security and public health governance. Key aspects of this framework include the deep integration of public health and healthcare systems, coordinated medical and preventive services, and cross-sectoral collaboration. Additionally, the framework promotes the "Health in All Policies" approach, aiming to improve the overall efficiency of the health system and strengthen the capacity to respond to public health emergencies.
强韧卫生体系 / 框架 / 公共卫生 / 健康照护 / 健康大同
resilient health systems / framework / public health / healthcare / universal health
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