發(fā)布時(shí)間：2018-02-06 07:02

  本文關(guān)鍵詞： 公共衛(wèi)生 疾病預(yù)防控制機(jī)構(gòu) 評(píng)價(jià) 模型　出處：《第二軍醫(yī)大學(xué)》2006年碩士論文　論文類(lèi)型：學(xué)位論文

【摘要】：早在1996年,政府衛(wèi)生工作文件中就指出:“各級(jí)政府對(duì)公共衛(wèi)生和預(yù)防保健工作要全面負(fù)責(zé),加強(qiáng)預(yù)防保健機(jī)構(gòu)的建設(shè),給予必要的投入,對(duì)重大疾病的預(yù)防和控制工作要保證必需的資金�！惫残l(wèi)生系統(tǒng)是以實(shí)現(xiàn)公共衛(wèi)生服務(wù)功能和提高公共衛(wèi)生資源效益為目的,旨在保障公眾健康和疾病預(yù)防的活動(dòng)。作為我國(guó)公共衛(wèi)生服務(wù)系統(tǒng)的重要組成部分的疾病預(yù)防控制機(jī)構(gòu)更是承擔(dān)著疾病預(yù)防監(jiān)測(cè)的主要功能。但是由于長(zhǎng)期“重醫(yī)輕防"思想的影響以及還沿用傳統(tǒng)的政府直接投資的公共衛(wèi)生服務(wù)提供模式,這些都影響了疾病預(yù)防控制機(jī)構(gòu)應(yīng)有功能的發(fā)揮。特別是到2003年,SARS疫情危機(jī)更是帶給我們深痛的經(jīng)驗(yàn)和教訓(xùn)。當(dāng)前,加快公共衛(wèi)生體系建設(shè),特別是疾病預(yù)防控制機(jī)構(gòu)建設(shè)已成了各級(jí)政府關(guān)注的熱點(diǎn);目前我國(guó)的疾病預(yù)防控制機(jī)構(gòu)主要包括省市區(qū)的各級(jí)疾病預(yù)防控制中心(CDC)和經(jīng)改組后的衛(wèi)生防疫站。由于我國(guó)的CDC成立時(shí)間不長(zhǎng),對(duì)其定位不準(zhǔn)及功能不強(qiáng)等問(wèn)題嚴(yán)重,最主要的是國(guó)家對(duì)其投入不足,所以導(dǎo)致我國(guó)疾病預(yù)防控制機(jī)構(gòu)的功能發(fā)揮不足。因此進(jìn)行我國(guó)疾病預(yù)防控制機(jī)構(gòu)功能及發(fā)展政策性研究是當(dāng)務(wù)之急,是加快我國(guó)公共衛(wèi)生體系建設(shè)的基礎(chǔ)工作之一。 本研究對(duì)我國(guó)目前社區(qū)衛(wèi)生服務(wù)的現(xiàn)狀進(jìn)行全方位的研究,總結(jié)各地社區(qū)衛(wèi)生服務(wù)發(fā)展的現(xiàn)狀和可持續(xù)發(fā)展因素,構(gòu)建社區(qū)衛(wèi)生服務(wù)評(píng)價(jià)指標(biāo)體系,探索阻滯社區(qū)衛(wèi)生服務(wù)發(fā)展的瓶頸問(wèn)題,提出深層次發(fā)展社區(qū)衛(wèi)生服務(wù)的政策性建議。 本研究從社會(huì)整體出發(fā),站在整個(gè)衛(wèi)生服務(wù)系統(tǒng)的高度,依據(jù)復(fù)雜系統(tǒng)理論、微觀經(jīng)濟(jì)學(xué)及預(yù)防醫(yī)學(xué)原理,以衛(wèi)生系統(tǒng)宏觀模型作為系統(tǒng)指導(dǎo)思想,運(yùn)用各種研究方法和分析技術(shù),針對(duì)我國(guó)的國(guó)情,來(lái)定性和定量的討論我國(guó)疾病預(yù)防控制機(jī)構(gòu)功能問(wèn)題的根源、嚴(yán)重程度和作用機(jī)制,并研究解決方案,從而為政府部門(mén)提供必要的政策建議。 研究方法是在大量文獻(xiàn)回顧和專(zhuān)家訪(fǎng)談的基礎(chǔ)上對(duì)我國(guó)疾病預(yù)防控制機(jī)構(gòu)的現(xiàn)況進(jìn)行分析,以衛(wèi)生系統(tǒng)宏觀模型為指導(dǎo)思想,采用
[Abstract]:As early as 1996, the government health working paper pointed out: "all levels of government should be fully responsible for public health and preventive health care, strengthen the construction of preventive health care institutions, and give the necessary input." The prevention and control of major diseases should ensure the necessary funds... "the public health system aims to achieve the function of public health services and improve the efficiency of public health resources." Activities aimed at safeguarding public health and disease prevention. As an important part of our public health service system, the disease prevention and control agency is particularly responsible for the main functions of disease prevention and surveillance. The influence of the thought of emphasizing medical care and neglecting prevention and the traditional mode of public health service delivery which is directly invested by the government. All of these have affected the function of disease prevention and control organizations. Especially, the SARS epidemic crisis in 2003 brought us painful experience and lessons. At present, we should speed up the construction of public health system. In particular, the construction of disease prevention and control institutions has become the focus of attention at all levels of government; At present, the disease prevention and control institutions in China mainly include the centers of disease prevention and control at all levels in provinces, municipalities and cities, and the health prevention and control stations after being reorganized. The establishment of CDC in our country is not long. The problems of inaccurate positioning and weak function are serious, and the main problem is that the state has not invested enough in it. So it is urgent to study the function of disease prevention and control organization and development policy in our country. It is one of the basic work of speeding up the construction of public health system in China. This study carries on the omni-directional research to the present situation of the community health service in our country, summarizes the present situation of the community health service development and the sustainable development factor, constructs the evaluation index system of the community health service. This paper explores the bottleneck problems that block the development of community health service, and puts forward some policy suggestions for the deep development of community health service. Based on the theory of complex system, microeconomics and preventive medicine, the macro model of health system is taken as the guiding ideology of the whole health service system. Using various research methods and analytical techniques, according to the situation of our country, to qualitatively and quantitatively discuss the root, severity and mechanism of the function of disease prevention and control institutions in China, and study the solutions. In order to provide necessary policy advice for government departments. The research method is to analyze the current situation of disease prevention and control institutions in China on the basis of a large number of literature reviews and expert interviews, taking the macro model of health system as the guiding ideology and adopting the
【學(xué)位授予單位】：第二軍醫(yī)大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2006
【分類(lèi)號(hào)】：R18

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 李曉西;建設(shè)我國(guó)公共衛(wèi)生體系的若干思路[J];發(fā)展;2003年11期

2 譚愛(ài)軍;疾病預(yù)防控制機(jī)構(gòu)如何適應(yīng)市場(chǎng)經(jīng)濟(jì)體制的幾點(diǎn)思考[J];華南預(yù)防醫(yī)學(xué);2002年06期

3 闞學(xué)貴,宋文質(zhì);日本的公共衛(wèi)生管理與監(jiān)督[J];中國(guó)公共衛(wèi)生管理;1994年05期

4 張煥明;淺論加強(qiáng)公共衛(wèi)生監(jiān)督所的建設(shè)[J];中國(guó)公共衛(wèi)生管理;1996年05期

5 李坤怡;美國(guó)的公共衛(wèi)生管理簡(jiǎn)介[J];中國(guó)公共衛(wèi)生管理;2000年02期

6 傅建國(guó);21世紀(jì)公共衛(wèi)生事業(yè)改革與發(fā)展初探[J];中國(guó)公共衛(wèi)生管理;2000年04期

7 李紹華,胡志,秦俠,李守田,江啟成;預(yù)防機(jī)構(gòu)服務(wù)行為影響因素及政策建議(四)[J];中國(guó)公共衛(wèi)生管理;2000年05期

8 阮廷清,黎學(xué)銘;論疾病預(yù)防控制機(jī)構(gòu)的創(chuàng)收[J];中國(guó)公共衛(wèi)生管理;2002年04期

9 王守振;關(guān)于加強(qiáng)公共衛(wèi)生體系建設(shè)的幾點(diǎn)思考[J];河南預(yù)防醫(yī)學(xué)雜志;2004年02期

10 崔惠玲,郭華平,李彥敏;我國(guó)衛(wèi)生費(fèi)用投入及分配的公平性分析[J];上海經(jīng)濟(jì)研究;2003年01期

，

本文編號(hào)：1493866