基于边界分析的我国公共卫生服务体系政策问题研究  

Research on Policy Issues of Public Health Service System Based on Boundary Analysis

作　　者：李畅 李小华[1] LIChang;LIXiaohua(School of Political Science and Public Administration,Wuhan University,Wuhan Hubei 430072,China)

机构地区：[1]武汉大学政治与公共管理学院,湖北武汉430072

出　　处：《卫生经济研究》2022年第8期5-8,共4页

基　　金：教育部人文社科青年项目“健康冲击视角下我国农村居民重大疾病测量模型及保障效应研究”(16YJCZH137)。

摘　　要：目的:了解我国当前公共卫生服务体系现状,明确政策问题。方法:查阅2016—2021年相关文献资料,通过边界分析法研究当前我国公共卫生服务体系存在的问题。结果:我国公共卫生服务体系存在的问题,可归纳为四类共25个具体问题,其中56%属于结构问题、16%属于过程问题、16%属于系统结果问题、12%属于外部子模问题。结论:公共卫生人力资源数量不足、素质较低,政府投入不足,缺乏协调合作机制,是当前我国公共卫生服务体系存在的主要问题。Objective To understand the current status of our country's current public health service system,and to clarify policy issues.Methods This study reviewed literature published from 2016 to 2021,and used boundary analysis to explore current problems of public health service system.Results It was found that there were 4 types problems including 25 specific problems facing by our public health system.Among them,structure problem accounted for 56%,followed by process problem(16%),system result problem(16%),and external problem(12%).Conclusion Insufficient and under-qualified workforce,insufficient government investment and a lack of coordination and cooperation mechanisms are the main problems faced by public health service system.

关 键 词：公共卫生服务体系 边界分析 卫生系统宏观模型 

分 类 号：R19[医药卫生—卫生事业管理]